SCCM Resource Library-Approach to the Surgical Patient, Part 1: Overview of the Care for the Critically Ill Patient

Pdf Summary

The document provides a comprehensive overview of the critical care considerations for surgical patients, focusing on the perioperative and postoperative periods. It outlines objectives, such as understanding physiological disorders associated with surgery, common complications in critically ill surgical patients, effects of anesthesia, adverse drug interactions, and successful patient handoff to the ICU team.

The content includes several key sections:

1. <strong>Physiological Changes</strong>: Surgical patients experience complex metabolic, hormonal, and immunological responses due to stress, injury, and anesthesia. Common conditions like hypovolemia, cardiac output issues, coagulopathy, malnutrition, and metabolic responses to stress are discussed in detail.

2. <strong>Complications and Interventions</strong>: The text details postoperative complications such as respiratory failure, hypotension, abdominal compartment syndrome, wound infections, and venous thromboembolism, outlining their causes and essential interventions.

3. <strong>Anesthesia and Drug Interactions</strong>: Focus is given to anesthesia-related complications and drug interactions, including conditions like malignant hyperthermia and serotonin syndrome. The importance of adjusting anesthesia care to prevent adverse effects is highlighted.

4. <strong>Handoff Process</strong>: It emphasizes the critical nature of effective communication during handoffs from the operating room to the ICU, recommending structured communication methods like checklists to mitigate errors.

5. <strong>Case Study</strong>: A patient experiencing postoperative complications, including hypoxia, abdominal compartment syndrome, and necessary interventions demonstrates the application of the discussed principles.

Overall, the document underscores the vital collaboration required among multi-disciplinary teams to ensure successful outcomes in critically ill postoperative patients by comprehensively managing physiological stressors, complications, and anesthesia-related effects through precise communication and intervention strategies.

Asset Subtitle

Procedures, Pharmacology, 2021, 9:20:00

Asset Caption

This is a complimentary chapter from the textbook,Fundamental Critical Care Support: Surgical 2021, titled "Approach to the Surgical Patient, Part 1: Overview of the Care for the Critically Ill Patient."
Learning Objectives:

Describe the physiologic disorders that occur with surgery.
Identify common complications that occur in critically ill surgical patients and their treatment.
List the effects of anesthesia in the perioperative period.
List and distinguish the different types of adverse drug interactions caused by anesthetics in the postoperative period.
Describe the components in a successful handoff of a critically ill surgical patient to the ICU team.

Meta Tag

Content Type Book Chapter

Knowledge Area Procedures

Knowledge Area Pharmacology

Knowledge Level Intermediate

Knowledge Level Advanced

Membership Level Select

Membership Level Professional

Membership Level Associate

Tag Surgery

Tag Drug Interactions

Year 2021

Keywords

critical care

surgical patients

perioperative

postoperative

physiological disorders

anesthesia

drug interactions

ICU handoff

postoperative complications

multi-disciplinary teams

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