Surgery and General Anaesthetic: Difference between revisions
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Prior to surgery, the patient must undergo a pre-operative assessment. This involves seeing a nurse or doctor who will ask the patient questions about their health, medical history, advise the patient on what to do before the surgery and where to report on the day <ref name="NHS">NHS. Going into hospital. http://www.nhs.uk/NHSEngland/AboutNHSservices/NHShospitals/Pages/going-into-hospital.aspx#assessment (accessed 29th May 2015).</ref>. the pre-assessment willl highlight any contra-indications that could postpone the surgery procedure <ref name="NHS" />. | Prior to surgery, the patient must undergo a pre-operative assessment. This involves seeing a nurse or doctor who will ask the patient questions about their health, medical history, advise the patient on what to do before the surgery and where to report on the day <ref name="NHS">NHS. Going into hospital. http://www.nhs.uk/NHSEngland/AboutNHSservices/NHShospitals/Pages/going-into-hospital.aspx#assessment (accessed 29th May 2015).</ref>. the pre-assessment willl highlight any contra-indications that could postpone the surgery procedure <ref name="NHS" />. | ||
Investigations used for monitoring the patient after surgery could be chest x-rays, BP, HR, RR, ABG's and other observations noted. Surgery and general anaesthetic can lead to postoperative pulmonary complications so it is crucial that patients are monitored. Anaesthesia can have an effect on lung mechanics, lung defences and gas exchange, therefore a chest x-ray will help identify if there is a lung collapse or any consolidation ( | Investigations used for monitoring the patient after surgery could be chest x-rays, BP, HR, RR, ABG's and other observations noted. Surgery and general anaesthetic can lead to postoperative pulmonary complications so it is crucial that patients are monitored. Anaesthesia can have an effect on lung mechanics, lung defences and gas exchange, therefore a chest x-ray will help identify if there is a lung collapse or any consolidation<ref name="Pryor">Denehy, L. Surgery for adults. In: Pryor, J.A, Prasad, S.A (eds.) Physiotherapy for Respiratory and Cardiac Problems. United Kingdom: Churchill livingstone; 2008. p. 397-439.</ref>. A CT scan can also identify consolidation and atelectasis<ref name="Hough">Hough, A. Physiotherapy in Respiratory and Cardiac Care - an evidence-based approach. (4th ed.). Singapore: Andrew Ashwin; 2014.</ref>. Postoperative hypoxaemia may be present, thus an analysis of an arterial blood sample allows a physiotherapist to monitor deterioration and identify respiratory failure<ref name="Broad">Broad, M. Cardiorespiratory Assessment of the Adult Patient: a Clinician's Guide. Edinburgh: Churchill Livingstone; 2012</ref>. Another possible effect of anaesthesia is an alteration in mucociliary clearance. This can be monitored using auscultation to determine where the secretions are (broad). Blood pressure can help determine cardiovascular status of the patient<ref name="Broad" />. Other observations could be heart rate, respiratory rate and temperature as these can all be altered if the patient has an infection<ref name="Hough" />. | ||
== Clinical Manifestations == | == Clinical Manifestations == | ||
Revision as of 16:19, 2 June 2015
Original Editors - Students from Glasgow Caledonian University's Cardiorespiratory Therapeutics Project.
Top Contributors - Bo Lian Ho Sing, Lucinda hampton, Erin Froude, Michelle Lee, Kim Jackson, Chris Seenan, George Prudden, Adam Vallely Farrell, Karen Wilson, 127.0.0.1 and Admin
Definition/Description[edit | edit source]
Definition of the disease or condition
Epidemiology[edit | edit source]
Background epidemiology to the disease or condition (to include prevalence and incidence as appropriate from a UK or Scottish perspective. (You may want to also look at the disease prevalence across different social economic groups).
Pathophysiology[edit | edit source]
The causes of the disease or condition, current thinking and research activity as appropriate
Investigations[edit | edit source]
Prior to surgery, the patient must undergo a pre-operative assessment. This involves seeing a nurse or doctor who will ask the patient questions about their health, medical history, advise the patient on what to do before the surgery and where to report on the day [1]. the pre-assessment willl highlight any contra-indications that could postpone the surgery procedure [1].
Investigations used for monitoring the patient after surgery could be chest x-rays, BP, HR, RR, ABG's and other observations noted. Surgery and general anaesthetic can lead to postoperative pulmonary complications so it is crucial that patients are monitored. Anaesthesia can have an effect on lung mechanics, lung defences and gas exchange, therefore a chest x-ray will help identify if there is a lung collapse or any consolidation[2]. A CT scan can also identify consolidation and atelectasis[3]. Postoperative hypoxaemia may be present, thus an analysis of an arterial blood sample allows a physiotherapist to monitor deterioration and identify respiratory failure[4]. Another possible effect of anaesthesia is an alteration in mucociliary clearance. This can be monitored using auscultation to determine where the secretions are (broad). Blood pressure can help determine cardiovascular status of the patient[4]. Other observations could be heart rate, respiratory rate and temperature as these can all be altered if the patient has an infection[3].
Clinical Manifestations[edit | edit source]
Clinical manifestations (the signs and symptoms your patient may well present to you on an examination) ensure you relate this back to the underlying pathophysiology.
Physiotherapy and Other Management[edit | edit source]
Physiotherapy and other management. Other health professionals will be treating your patient. What is their input?
Prevention[edit | edit source]
Brief consideration of how this pathology could be prevented and the physiotherapy role in health promotion in relation to prevention of disease or disease progression.
Resources
[edit | edit source]
add appropriate resources here
Recent Related Research (from Pubmed)[edit | edit source]
see tutorial on Adding PubMed Feed
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References[edit | edit source]
see adding references tutorial.
- ↑ 1.0 1.1 NHS. Going into hospital. http://www.nhs.uk/NHSEngland/AboutNHSservices/NHShospitals/Pages/going-into-hospital.aspx#assessment (accessed 29th May 2015).
- ↑ Denehy, L. Surgery for adults. In: Pryor, J.A, Prasad, S.A (eds.) Physiotherapy for Respiratory and Cardiac Problems. United Kingdom: Churchill livingstone; 2008. p. 397-439.
- ↑ 3.0 3.1 Hough, A. Physiotherapy in Respiratory and Cardiac Care - an evidence-based approach. (4th ed.). Singapore: Andrew Ashwin; 2014.
- ↑ 4.0 4.1 Broad, M. Cardiorespiratory Assessment of the Adult Patient: a Clinician's Guide. Edinburgh: Churchill Livingstone; 2012
