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Related Concept Videos

Cardiomyopathy VII: Pre and Post Operative Nursing Management01:28

Cardiomyopathy VII: Pre and Post Operative Nursing Management

Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Endoscopic Studies II: Thoracocentesis01:26

Endoscopic Studies II: Thoracocentesis

Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...

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Related Experiment Videos

Postoperative fluid management in major elective plastic surgery.

Sanket Srinivasa1, Swee T Tan

  • 1Wellington Regional Plastic, Maxillofacial & Burns Unit, Hutt Hospital; and University of Otago, Wellington, New Zealand.

Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS
|April 14, 2009
PubMed
Summary

Major elective plastic surgery patients often receive excessive fluids, leading to brisk diuresis and potential cardiac issues. Fluid management protocols focusing on minimal administration are recommended to maintain tissue perfusion and avoid complications.

Related Experiment Videos

Area of Science:

  • Plastic Surgery
  • Intensive Care Medicine
  • Nephrology

Background:

  • Postoperative fluid management is critical in major elective plastic surgery.
  • Current practices may lead to suboptimal patient outcomes.

Purpose of the Study:

  • To document current postoperative fluid management practices.
  • To evaluate the effectiveness of these practices in major elective plastic surgery.

Main Methods:

  • Retrospective review of adult patients undergoing major elective plastic surgery.
  • Analysis of hourly fluid input/output and vital signs for the first 48 postoperative hours.
  • Urine output used to assess tissue perfusion adequacy (0.5-1.5ml/kg/h).

Main Results:

  • Significant positive fluid balance observed intraoperatively and postoperatively.
  • A majority of patients experienced brisk diuresis early in the postoperative period.
  • Excessive fluid administration occurred in 43% of patients, with 10% developing cardiac failure.

Conclusions:

  • Current fluid management practices in major elective plastic surgery often result in excessive fluid administration.
  • A protocol-guided approach with minimal fluid administration, guided by urine output, is recommended.
  • Dynamic adjustment of fluid rates based on tissue perfusion is crucial.