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7 Cards in this Set
- Front
- Back
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Practice of Surgery |
Exam Diagnostics Database, rule outs, diagnosis Prognosis Estimate Informed Consent Operative Theater Anesthesia Surgical procedure or operation - Do no harm Recovery After care and pain management Physical therapy Recheck and re-evaluate Complications dictate outcome |
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3 hurdles of modern surgery |
bleeding (hemostasis) - ligatures Infection (asepsis) - handwashing, sterilization, gloves, disinfection Pain (analgesia/anesthesia) |
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How can we surgically do less to help the patient |
Minimally invasive surgery - arthroscopy, laproscopy, natural orifice trans-endoscopic surgery (NOTES), Laparo-endoscopic single site surgery. Shorter hospital stays Shorter recovery times Lower morbidity Good case selection |
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Informed Consent |
Client communication and mutual consent veterinarians have the right to treat an animal only when there is mutual consent of owner and doctor - unless it is an emergency. Provide the client with complete medical information Written informed consent is best |
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Legal ramifications of informed consent |
Disclosure of facts that other practitioners would reasonably disclose Disclosure of all risks that would be material to a reasonable/ prudent owner Provide a reasonable amount of information about risks, benefits, costs, and alternatives |
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Ethics of surgery |
Do no harm practice informed consent know your limits seek help if needed refer surgeries if that is in the patient's best interest |
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Intra-operative decision making |
Begins long before the operation Do pre-operative planning and read up on anatomy planned procedure alternative procedures possible complications plan B,C,D Educate and communicate with your surgical team In the surgery - the surgeon is captain of the ship stay composed, give directions, be aware of whole situation, be professional keep patient and owner's best interest in mind Don't let your ego hinder you |
