围手术期处理-英语课件.pptVIP

Perioperative Management;Perioperative period; ; To confirm the diagnosis To assess the risk of operation To assess the general condition and function of important organs To evaluate the patients endurance to the operation and risk of operation;Essential steps in preoperative assessment and preparation ;Essential steps in preoperative assessment and preparation;Psychological preparation talk frankly and appropriately to patients Physiological preparation ;Malnutrition and dysfunction of immune system ;Hypertension;Severe or poorly controlled hypertension;Cardiovascular disease;Angina;Adequate preparation for heart disease;Respiratory dysfunction;Risk factors for respiratory complication;Preoperative investigation of respiratory disease;Perioperative management of respiratory disease and high risk patients;3. Encourage to stop smoking from the time of book for elective surgery 4. Alternation methods of anaesthesia Local, regional or spiral anaesthesia should be considered 5. Early postoperative physiotherapy to enhance deep breathing, coughing and general mobility ;Liver disorder;Preoperative assessment and management;Renal disorders;Disorders of Adrenal Function;Diabetes Mellitus; Attempt to maintain blood glucose level between 4 and 10 mmol/L, avoid hypoglycemia in particular. Blood glucose level ＞13 mmol/L, an unreceptible risk of ketoacidosis or a hyperosmolar non-ketotic state.;The general principle of perioperative management;The general principle of perioperative management; Recovery room is necessary ICU is optimal if possible Monitoring ;Position and getting up;Diet and transfusion;Management of Drainage;Wound healing and suture removing;1. Postoperative pain any motions increasing tensions will increase pain Analgesia is obligatory 2. Pyrexia common postoperative observation a search be made for a focus of infection non-infect