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    Format of Surgery Long Cases

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    Hengkai Neo
    This document outlines the typical format for presenting long surgery cases. It includes sections for history and examination of the patient, developing a problem list, discussing treatment options including surgical or medical management, pre-operative preparations such as obtaining consent and optimizing co-morbidities, and post-operative management including monitoring for complications like bleeding, infection, or cardiac issues.

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    Format of Surgery Long Cases

    Uploaded by

    Hengkai Neo
    76 views2 pages
    This document outlines the typical format for presenting long surgery cases. It includes sections for history and examination of the patient, developing a problem list, discussing treatment options including surgical or medical management, pre-operative preparations such as obtaining consent and optimizing co-morbidities, and post-operative management including monitoring for complications like bleeding, infection, or cardiac issues.

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    This document outlines the typical format for presenting long surgery cases. It includes sections for history and examination of the patient, developing a problem list, discussing treatment options including surgical or medical management, pre-operative preparations such as obtaining consent and optimizing co-morbidities, and post-operative management including monitoring for complications like bleeding, infection, or cardiac issues.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    76 views2 pages

    Format of Surgery Long Cases

    Uploaded by

    Hengkai Neo
    This document outlines the typical format for presenting long surgery cases. It includes sections for history and examination of the patient, developing a problem list, discussing treatment options including surgical or medical management, pre-operative preparations such as obtaining consent and optimizing co-morbidities, and post-operative management including monitoring for complications like bleeding, infection, or cardiac issues.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
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    Format of Surgery Long Cases

    1.      History  and examination


    a.      Introduction
    b.      Previously well patient/ patient with co-morbidities
    c.       DD
    d.      Eatiology
    e.      Complications
    f.        Fitness for surgery
    g.      Social factors
    2.      Summary and problem list
    3.      Discussion
    a.      Management
    b.      Theory
    4.      Investigations
    a.      For diagnosis
    b.      To assess severity
    c.       To assess fitness for the surgery
    5.      Treatment
    a.      surgical
                                              i.      Curative
                                            ii.      Palliative
    b.      medical
    6.      Pre-operative preparations
    a.      Consent
                                              i.      Why/what surgery
                                            ii.      Type of anaesthesia
                                          iii.      What will happen after surgery
                                           iv.      Complications
                                             v.      Long term outcome
    b.      Pre-operative assessment
    c.       Optimize the patient for surgery
                                              i.      Diabetes mellitus
                                            ii.      Cardiovascular disease
    1.      IHD
    2.      HT
    d.      Alter/modify drugs
                                              i.      Stop –
    1.      antiplatelet drugs – clopidogrel 14 days prior to surgery
    2.      warfarin – 72 hours prior to surgery and converted to heparin, UFH – 4-6 hrs prior to surgery, LMWH
    – 12 before
    3.      oral hypoglycaemics
                                            ii.      Continue –
    1.      Antihypertensives
    2.      other cardiac drugs
    3.      antiepileptics
    4.      asthmatic
    e.      Special preparations for the surgery
                                              i.      Patient preparation
                                            ii.      ICU bed
    f.        Premedications
                                              i.      Antiemetics
                                            ii.      PPI
                                          iii.      Anxiolytics
                                           iv.      For bowel preparations
                                             v.      Prophylactic antibiotics
    g.      Fasting and pre-op fluid balance
                                              i.      6 hours for solids and 2 hours for liquids
    7.      Post operative management
    a.      Post op monitoring
                                              i.      ICU/HDU/ward
                                            ii.      PR/RR/BP/IP OP chart
                                          iii.      Drains
                                           iv.      Active bleeding
    b.      Management of pain
    c.       Managing co morbidities
    d.      Fluid and electrolyte
    e.      Nutrition
    f.        Complications
                                              i.      Bleeding
    1.      Iry
    2.      2ry
    3.      Reactionary
                                            ii.      Atelactasis, pneumonia
                                          iii.      IHD, Heart failure, arrhythmias
                                           iv.      DVT, Pulmonary embolism
                                             v.      Wound
    1.      Haematoma
    2.      Seroma
    3.      Wound infection
                                           vi.      Fever
                                         vii.      Nausea and vomiting

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