Presentation on theme: "Postoperative Complications Lindsey E Goldstein, MD PGY 4."— Presentation transcript:
Postoperative Complications Lindsey E Goldstein, MD PGY 4
Always consider... What operation did the patient have? What are the most common complications of this operation? What is most life-threatening? What comorbidities does that particular patient have?
GO SEE THE PATIENT!
Hypotension 1. Hemorrhage 2. Hemorrhage 3. Hemorrhage 4. Medications 5. Normal blood pressure 6. Under resuscitation 7. Sepsis
Sepsis SIRS Sepsis- SIRS with an infectious source Severe sepsis- sepsis with new onset organ failure Septic shock- circulatory collapse despite resuscitation
Wound Complications Surgical site infection: infections of the tissues, organs, or spaces exposed by surgeons during performance of an invasive procedure –Superficial v Deep –Necrotizing soft tissue infection Hematoma Seroma Dehiscence Evisceration
Postoperative Fever - within 24 hours: atelectasis, not clearing secretions hours: respiratory complications - always consider lines and tubes