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Chapter 11 – Principles of Preoperative and Operative Surgery

Chapter 11 – Principles of Preoperative and Operative Surgery

ID：32445129

大小：1.46 MB

页数：29页

时间：2019-02-04

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1、CHAPTER11PRINCIPLESOFPREOPERATIVEANDOPERATIVESURGERYLeighNeumayerandDanielVargoInthiscontext,thesurgeon’sinitialencounterwiththepatientpreoperativepreparationofthepatientmaybelargelydirectedtowardconfirmationofrelevantphysicalsystemsapproachtopreoperativeevaluationfindingsandreviewoftheclinicalhi

2、storyandlaboratoryandadditionalpreoperativeconsiderationsinvestigativeteststhatsupportthediagnosis.Arecommendationpreoperativechecklistregardingtheneedforoperativeinterventioncanthenbemadepotentialcausesofintraoperativeinstabilitybythesurgeonanddiscussedwiththepatientandfamilytheoperatingroommemb

3、ers.Adecisiontoperformadditionalinvestigativetestsorsurgicaldevicesandenergysourcesconsiderationofalternativetherapeuticoptionsmaypostponeoutpatientsurgerythedecisionforsurgicalinterventionfromthisinitialencountertoalatertime.Itisimportantforthesurgeontoexplainthecontextoftheillnessandthebenefito

4、fdifferentsurgicalinter-ventions,furtherinvestigation,possiblenonsurgicalalternatives,PREOPERATIVEPREPARATIONOFTHEPATIENTwhenappropriate,aswellaswhatwouldhappenifnointerven-Themodernpreparationofapatientforsurgeryisepitomizedtionwereundertaken.bytheconvergenceoftheartandscienceofthesurgicaldisci-

5、Thesurgeon’sapproachtothepatientandfamilyduringpline.Thecontextinwhichpreoperativepreparationiscon-theinitialencountershouldbeonethatfostersabondoftrustductedrangesfromanoutpatientofficevisittohospitalinpatientandopensalineofcommunicationamongallparticipants.Aconsultationtoemergencydepartmenteval

6、uationofapatient.professionalandunhurriedapproachismandatory,withtimeApproachestopreoperativeevaluationdiffersignificantly,takentolistentoconcernsandanswerquestionsposedbythedependingonthenatureofthecomplaintandtheproposedpatientandfamilymembers.Thesurgeon’sinitialencountersurgicalintervention,pa

7、tienthealthandassessmentofriskwithapatientshouldresultinthepatientbeingabletoexpressfactors,andresultsofdirectedinvestigationandinterventionsabasicunderstandingofthediseaseprocessandtheneedfortooptimizethepatient’sover

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