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16 Cards in this Set

  • Front
  • Back
What is the definition of a surgical emergency?
Life threatening situations involving SA and LA patients that require surgery for resolution
OR
Situations developing during surgery which are potentially life-threatening and require resolution for successful outcome
What are 7 surgical emergencies that can occur?
1) Premature awakening
2) Anesthetic complications- excessive depth
3) Regurgitation
-ruminants and camelids
4) Hemorrhage
5) Rupture or leakage from a viscus
6) Loss of power
7) Building or operative suite on fire
What are the steps to dealing with premature awakening of a patient during surgery?
1) anesthetist's response
-deepen anesthesia
2) Surgeon's response
3) Operating personnel
What are the 3 things that the surgeon should do when responding to premature awakening of a patient?
1) Stop operating
-reduce noxious stimulation
2) Remove instruments from within confined spaces
3) Restraint patient if needed
What are the 3 responsibilities of the operating personnel when a patient starts to awake prematurely on the operating table?
1) Restraint
2) Replace supplies
3) Reassess positioning
What are the 6 types of clinical signs that can occur with a patient that has reached an excessive depth of anesthesia?
1) Bradyapnea, tachycardia
2) Bradycardia, tachycardia
3) Hypoxemia, hypercapnia
4) Vasoconstriciton
5) Hypotension (critical in LA), hypertension
6) Hypothermia, hyperthermia
What are the 4 ways to respond to regurgitation during surgery (camelids, ruminants)?
1) Assure endotracheal cuff in place and inflated
2) Lower head to drain
3) Suction
4) Placement of E-t tube if not already there
What risk is associated w/ regurgitation in a patient during surgery?
Aspiration pneumonia
What are 3 sequelae to hemorrhage during surgery?
1) Loss of visual field
2) Cardiovascular effects
3) Sometimes no treatment
What 3 things are important as a patient starts to hemorrhage and you lose the visualization of the surgical field?
1) Remain calm
2) Direct pressure
3) Logical thought
What are 2 things you can do to provide cardiovascular support for an animal that is hemorrhaging on the surgery table?
1) Fluid support
2) Transfusion support
Compare the prognosis of a ruptured intestine VS bladder during surgery.
Rupture of the intestines can be a disaster, ruptured bladder in a foal might have a better prognosis
What type of drain would you put in a contaminated abdomen?
? Active drain- want efficiency, want quick so faster at increasing evacuation of material and probably going to use a lavage of sometime and put sterile fluid in abdomen so want to recover the fluid, have to get fluid out or just spreading the bacteria around
What are 4 things to consider/ do when there is rupture or leakage from a viscus during surgery?
1) Time of the "accident"
2) Prevent further contamination
-direct pressure followed by closure
3) Lavage of surgical site
4) Placement of drains
What are some alternatives to use of there's a loss of power in a hospital during surgery?
Can use regenerator otherwise manual instrumentation, modern equipment is battery powered
What should you do if there's a fire while you're in surgery?
have a technician go check and see what's happening, theoretically can put on maintenance by machine and cover surgical wound, but liability?