Preoperative Evaluation And Perioperative Medical -Books Pdf

Preoperative Evaluation and Perioperative Medical
05 Dec 2019 | 31 views | 0 downloads | 62 Pages | 1.75 MB

Share Pdf : Preoperative Evaluation And Perioperative Medical

Download and Preview : Preoperative Evaluation And Perioperative Medical


Report CopyRight/DMCA Form For : Preoperative Evaluation And Perioperative Medical



Transcription

Disclosures,I have no actual or potential conflicts of. interest in relation to this,program presentation,Objectives. Objectives, Understand how to conduct a preoperative medical assessment. medical clearance on the non cardiac surgical patient. Understand the appropriate utilization of preoperative testing. Know how to advise surgeons and patients on perioperative. medical needs i e who needs beta blockers antibiotics etc. Recognize common postoperative complications,Clinical Vignette. Mr Kneeoutawack is a 68 year old man with a,past medical history of hypertension dyslipidemia.
type 2 diabetes mellitus and osteoarthritis of the. right knee who presents to your office at the,request of his orthopedist The patient is. scheduled to undergo right total knee arthroplasty. by Dr Bones in 2 weeks and Dr Bones has asked,that you clear the patient for surgery The. patient will be receiving general anesthesia during. the procedure,Purpose of the Preoperative,Medical Assessment. CLEAR THE PATIENT FOR,Purpose of the Preoperative,Medical Assessment. Determine overall risk of surgery,First do no harm.
Are there other options to solve the patient s problem other than. Determine if additional testing will be needed to establish risk. Make recommendations to both the patient and surgeon on how to. mitigate surgical risk, Medically optimize the patient for the planned procedure. Provide the surgeon with pre and post operative medical. recommendations to ensure the patient will do well. The key to optimal management is,communication among all the relevant parties. i e surgeon anesthesiologist primary caregiver,and consultants and the patient. 2014 ACC AHA Guidelines on Perioperative Cardiovascular. Evaluation and Management of Patients Undergoing Non. cardiac Surgery Executive Summary,Definitions,Emergency Procedure. Life or limb is threatened if not in the operating room typically in less. than 6 hours,Urgent Procedure, Life or limb is threatened if not in the operating room typically between.
6 24 hours,Time sensitive Procedure,A delay of 1 6 weeks can be allowed. Elective Procedure,May be delayed up to one year,Definitions. Low Risk Procedure, Combined surgical and patient characteristics predict a risk of major. adverse cardiac event MACE of death or myocardial infarction MI of. less than 1,Elevated Risk Procedure, Combined surgical and patient characteristics predict a risk of MACE of. death or MI of greater than 1,American Society of Anesthesiologist.
ASA Physical Status Classification,ASA Class 1 Normal healthy. No organic physiologic or psychiatric disturbance,Excludes the very young and very old. ASA Class 2 Patient with mild systemic disease,No functional limitations. Well controlled disease of one body system,Controlled HTN or DM without systemic affects. Cigarette smoking without COPD,Mild obesity,American Society of Anesthesiologist.
ASA Physical Status Classification,ASA Class 3 Patient with severe systemic disease. Some functional limitation, Controlled disease of more than one body system or one major system. No immediate danger of death,Controlled CHF,Stable angina. Poorly controlled HTN,Morbid Obesity,Chronic renal failure. COPD with intermittent symptoms,American Society of Anesthesiologist.
ASA Physical Status Classification, ASA Class 4 patients with severe systemic disease that is constant. threat to life, At least one severe disease that is poorly controlled or end stage. Possible risk of death,Unstable angina,Symptomatic COPD. Symptomatic CHF,Hepatorenal failure, ASA Class 5 Moribund patients not expected to survive more than. 24 hours without the surgery, ASA Class 6 Brain dead patient whose organs are being removed.
for donor purposes,Clinical Risk Factors for,Perioperative Cardiac. Complications,Coronary Artery Disease, Major adverse cardiac events MACE after non cardiac surgery is. often associated with prior CAD events, Postoperative MI and mortality rate decreased as the length of time. between MI and operation increases,0 30 days 32 8 14 2. 31 60 days 18 7 11 5,61 90 days 8 4 10 5,91 180 days 5 9 9 9.
Recent MI less than 6 months prior to operation is an independent. risk factor for perioperative stroke, Associated with 8 fold increase in perioperative mortality.


Related Books

NANOGRAPHY BY NANOINK - Weebly

NANOGRAPHY BY NANOINK Weebly

NANOGRAPHY BY NANOINK Vinoth.E, Rajkumar.M B.Tech Chemical Engineering III year, Arulmigu Meenakshi Amman College of Engineering, Vadamavandal, Namandi(P.O ...

Greek Mythology - marsd.org

Greek Mythology marsd org

They also told stories about their gods. These stories are called myths (short for mythology, or stories about gods.) Some myths were so good that they have been told over and over, and still are told today. Some are new myths about the ancient Greek mystical world. The thing about myths is that the gods' adventures might

2014 - Tiffin Motorhomes

2014 Tiffin Motorhomes

2014 Phaeton is an amazing value, ... entertainment center with one leather lift recliner & flip table ... * All options may not be available in every model.

ALASKA - LPO

ALASKA LPO

Customer Satisfaction in Online Shopping: a study into the ...

Customer Satisfaction in Online Shopping a study into the

Customer Satisfaction in Online Shopping: a study into the reasons for motivations and inhibitions www.iosrjournals.org 15 | Page Figure 1 In addition, many marketing activities (e.g. relationship marketing, marketing research, data mining,

Overview of the H.264/AVC video coding standard - Circuits ...

Overview of the H 264 AVC video coding standard Circuits

H.264/AVC design covers a VCL, which is designed to effi-ciently represent the video content, and a NAL, which formats the VCL representation of the video and ...

Zoning Bylaw 264 - CivicWeb

Zoning Bylaw 264 CivicWeb

264c byl Page 3 of 88 Last Revised & Printed January 23, 2017 DISTRICT OF SPARWOOD UNOFFICIAL CONSOLIDATED ZONING BYLAW NO. 264 A bylaw to divide the whole of the ...

Legal, Financial, Social, and political Interdependencies ...

Legal Financial Social and political Interdependencies

Figure 3.1 illustrates that generically these factors impact the transac-tion, which of course will shape the objectives and specifics of the integration, which in turn will have legal, financial, social, and possibly political ramifica-tions. This chapter provides an overview and introduction to some of these

Introducing MVTec ITODD - A Dataset for 3D Object ...

Introducing MVTec ITODD A Dataset for 3D Object

Table 1. Object list with properties. A list of the 28 objects in the dataset, along with some of their properties. Size ratio is the ratio of the smallest to the largest side of an axis-aligned bounding box around the model, indicating the planarity of the object.

??????????????????????? II Precision medicine SCRUM-Japan? ...

 II Precision medicine SCRUM Japan

??????????????????????? II?Precision medicine ?????????? SCRUM-Japan??????