Surgical Care at the District Hospital
Part 1 2 3 4 5 6 Primary Trauma Care Manual
Resusciation and Anaesthesia
Resuscitation and Preparation for Anaesthesia and Surgery
Management of emergencies and cardiopulmonary resuscitation
Other conditions requiring urgent attention
Intravenous access
Fluids and drugs
Drugs and resuscitation
Preoperative assessment and investigations
Anaesthetic issues in the emergency situation
Important medical conditions for the anaesthetist
Practical Anaesthesia
General anaesthesia
Anaesthesia during pregnancy and for operative  delivery
Pediatric anaesthesia
Conduction anaesthesia
Specimen anaesthetic techniques
Monitoring the anaesthetized patient
Postoperative management
Anaesthetic infrastructure and supplies
Equipment and supplies for different level hospitals
Anaesthesia and oxygen
Fires, explosions and other risks
Care and maintenance of equipment
Postoperative Management
 

> IN RECOVERY
> POSTOPERATIVE EXTUBATION
> PAIR MANAGEMENT AND TECHNIQUES
> POSTOPERATIVE FLUID MANAGEMENT
> INTENSIVE CARE UNIT



IN RECOVERY

Recovery should be a well staffed, warm, well lit area of the operating room with oxygen, suction and resuscitation equipment available to treat complications.

If the patient is restless, something is wrong.


Look out for the following in recovery:

:: Airway obstruction
:: Hypoxia
:: Haemorrhage: internal or external
:: Hypotension and/or hypertension
:: Postoperative pain
:: Shivering, hypothermia
:: Vomiting, aspiration
:: Falling on the floor
:: Residual narcosis.


The recovering patient is fit for the ward when:

:: Awake, opens eyes
:: Extubated
:: Blood pressure and pulse are satisfactory
:: Can lift head on command
:: Not hypoxic
:: Breathing quietly and comfortably
:: Appropriate analgesia has been prescribed and is safely established.


> IN RECOVERY
> POSTOPERATIVE EXTUBATION
> PAIR MANAGEMENT AND TECHNIQUES
> POSTOPERATIVE FLUID MANAGEMENT
> INTENSIVE CARE UNIT



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  Kep Points  
 
The three events that probably contribute most to mortality in the postoperative period are:

Non-running drip

 
Postoperative hypotension
 
Respiratory failure.