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Flashcards in Post-operative complications Deck (23):
1

 

 

What anaesthetic complications can occur immediately after surgery?

 

  • Arrythmia
  • Hypo/hypertension
  • Hyperthermia
  • Breathing problems
  • MI/Stroke
  • Allergy
  • Mouth damage

2

 

 

What complications can occur early after surgery?

 

  • Fluid depletion
  • Electrolyte imbalance
  • Local infection
  • Fluid collection
  • Atelectasis
  • DVT/PE
  • Wound breakdown
  • Anastomotic leak
  • Bed sores

3

 

 

What complications can occur after gasterctomy?

 

  • Dumping syndrome
  • Malabsorption
  • Anastamotic ulcer
  • Peptic/gastric ulcer
  • Small intestine bacterial overgrowth
  • Abdominal fullness/gas bloating

4

 

 

What are complications that can occur after small and large bowel surgery?

 

  • Ileus
  • Anastamotic leaks
  • Stoma retraction
  • Intra-abdominal collections
  • Pre-sacral plexus damage
  • Adhesions/intestinal obstruction
  • Damage to other local structures

5

 

 

What are complications of cholecystectomy?

 

 

Common bile duct injury/leak

6

 

 

What are complications that can occur after biliary surgery?

 

  • Common bile duct injury/leak
  • Common bile duct stricture
  • Anastamotic leak
  • Bleeding into biliary tree - jaundice
  • Pacreatitis

7

 

 

What are complications that can occur following CABG/coronary stenting procedures?

 

  • Reperfusion arrythmias
  • Post-op ACS
  • Inotrope therapy -> reduced perfusion to other organs

8

 

 

What are complications which can occur in vascular graft/stent/bypass procedures?

  • Graft failure
  • Haemorrhage
  • Haematoma
  • Infection
  • Re-thrombosis -> limb/organ ischaemia
  • AV fistula
  • Cholesterol embolism
  • ACS/Stroke/PE
  • Contrast complications - anaphylaxis, AKI

9

 

 

What are complications that can occur following thyroidectomy?

 

  • Airway obstruction 2o to haemorrhage
  • Hypocalcaemia
  • Recurrent laryngeal nerve palsy

10

 

 

What are complications of a parotidectomy?

 

 

Facial nerve damage

11

 

 

What complications can occur in any orthopaedic surgery?

 

  • Infection of prosthesis
  • Loss of position/failure to fixate
  • Non-union/malunion/delayed union
  • Neurovascular injury
  • Compartment syndrome

12

 

 

What are complications fo THR?

 

  • Sciatic nerve damage
  • Dislocation
  • Leg length difference
  • Loosening
  • Wear

13

 

 

WHat are complications of Cystoscopy/

14

 

 

What is the most common cause of post-operative pyrexia?

 

 

Sepsis

15

 

 

Why are surgical patients at risk of developing chest infections?

 

 

Suboptimal ventilation causing basal atelectasis

16

 

 

What are causes of post operative fever?

5 W's

  • Wind - atelectasis/pneumonia
  • Water - UTI
  • Wound - wound or collection
  • Walking - VTE
  • Wonder drugs - Transfusion/drug reactions

17

 

 

What are causes of hypotension postoperatively?

 

  • Hypovolaemia
  • Cardiogenic shock
  • Sepsis
  • Anaphylaxis
  • Sympathetic shock

18

 

 

WHy can sympathetic shock occur post-operatively?

 

 

Epidural analgesia/high blocks can lose sympathetic outflow causing vasodilatation and cardiogenic shock

19

 

 

If someone had hypotension post-op, what would you want to asses?

 

 

End organ dysfunction - ABG, UO, confusion

20

 

 

What can cause pulmonary oedema in a post-op patient?

 

  • Large fluid shifts
  • Hypoalbuminaemia
  • Cardiac dysfunction

21

 

 

What can cause low urine output in a post op?

 

  • Pre-renal - volume depletion
  • Renal - nephrotoxic drugs
  • Post-renal - Prostatic hypertrophy, raised intra-abdominal pressure

22

 

 

How would you assess a patient with low UO?

 

  • Fluid status
  • Medicines review
  • Catheter examination/bladder

23

 

 

How would you assess respiratory difficulties in a post-op patient?

 

  • Fluid status
  • Assess calves - DVT
  • CXR
  • ABG