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Surgical Management Strategies
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RCSI Department of Surgery
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Acknowledgments
Contents
Surgical Management Strategies
Hazard Areas
Abdominal Aortic Aneurysm
Upper Gastrointestinal Haemorrhage
Shock
Head Injury
Important associations
Transfers
Check lists upon accepting transfers
Trauma patients
Splenectomy
Immunoprophylaxis in elective splenectomy
Immunoprophylaxis in emergency splenectomy
Communication and Surgical documentation
Communication with patients
Communication amongst colleagues
Daily ward rounds
Notes
Operative Notes
Flow charts (Available on ABC ward)
Communication with GPs at the time of patient discharge
Fluid and Electrolytes
Requirements: Volume
Requirements: Electrolytes
Administration fluid guidelines
Common Clinical Care of Surgical Patients
History taking
Intestinal Obstruction
Pancreatitis
Smoker and CHOH Dependence
Urinary Catheterisation
Nasogastric drainage and feeding tubes
Medical problems in surgical patients
Chest Pain
Respiratory distress
Hyperkalaemia
Hyponatreamia
Confusion
Preoperative Care
Consent
Inform Relatives
Anaesthetists
Test Results
X-Rays
Blood
Frozen section
Evaluation Preop
Operative
DVT Prophylaxis
Dangerous Drugs
Antibiotic Prophylaxis
Blood ordering schedule
Vascular Surgery
General Surgery
Preoperative Checklists
Day Care Unit
Day Care Anaesthesia guidelines
Operating Theater
Operating Lists
Order of patients on theater list (generally)
Indicate side
SHOs in the Operating Theater
Postoperative Care
IV Fluid Orders
Fluid Challenge
Analgesics
Central Venous Lines
Evaluation of Postoperative Fever
Management of peri-operative anticoagulation
Postoperative Checklists
Special Topics
Iloprost infusion
Surgery in the Diabetic Patient
Care of Amputation Sites
Indications for Insertion of Greenfield Filter
Guidelines for Muscle Biopsy
Nutrition and Dietetic
Adrian P. Ireland