Dr. Michael Greco – Post-Op Emergencies

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 Dr. Michael Greco – Post-Op Emergencies

Important Elements of Perianesthesia Care

• Co-Pre-existing disease and anesthesia
• The levels of sedation and the advantages and disadvantages (conscious Sedation, MAC, in general)
• Standard versus emergency intubation techniques and equipment
• Differentiating spinal and epidural blockages
  • Safe management
  • Management of emergencies and identification of potential complications
  • Regional nerve blocks (Neck region, upper and lower extremities, eyes, neck)
• Recognizing possible emergencies and complications that may arise from regional blocks
  • Horners syndrome
  • Pneumothorax, vertebral injection
  • Intravascular injections and hemomatoma

Anesthetic Medication Complications

• Pharmacodynamics and pharmacokinetics
• Benzodiazepines
• Opioids
• Induction agents
• Inhalation agents and physiology
• Non-polarizing and depolarizing-depolarizing muscle relaxants
• Competing antagonists for the Acetylcholine Receptor
• Antiemetics
• Common emergency medication in the perianestheisa setting

Post-Operative Complications in Clinical Application (Real Life Case Study)

• Modulation of pain
  • Both pharmacologic (and non-pharmacologic)-Use of pharmacologic methods
  • Physiologic complications arising from pain
• Local Anesthetic Systemic Toxicity (LAST).
  • Signs and Symptoms (early and later)
  • Treatment algorithm
  • Post-op Nausea & Vomiting (PONV).
  • Risk factors, medication management and prophylaxis. Rescue therapy.
  • Hypothermia – Heat loss physics and delayed awakening, warming interventions
  • Do a thorough, but focused, physical assessment (systems review).

Respiratory Emergent Problems (Real Life Case Studies).

• Occupation of the airway: Upper or lower
• Muscular weakness in the pharyngeal area
• Paralysis of vocal cords due to laryngospasm
• Edema of the airway
• Other airway emergencies
  • Postoperative cervical hemomatoma
  • Foreign bodies
  • Anesthesia residual effects
  • Reversal of pharmacologic effects
  • Compromised oxygen exchange
  • Bronchospasms
  • Non-Cardiogenic pulmonary embolism
  • Hypoventilation, hypoxia
  • Pulmonary embolism
  • Pseudeocholinesterase deficiency
  • Atelectasis
  • Aspiration
  • Pneumothorax
  • Emergency tracheotomy

Obstructive Sleep Apnea: Emergent Complications (Real Life Examples)

• The Physiology and Treatment of OSA
• Concerning comorbidities
• Diagnosis
• Treatment planning
• Emergencies
• Airway management and ventilation: Effects
• Care in the perianesthesia setting: Implications

Cardiovascular Emergent Complications (Real Life case studies)

• Pulmonary edema
  • Fluid overload
  • LV failure
  • MV dysfunction
• Hypotension and hypertension
• Postoperative dysrhythmias
• Myocardial infarction
• Hypervolemia, hypervolemia

Neuropsychiatric Emergent Complications (Real Life Case Study)

• Emergence delirium/excitement
• Somnolence
• Visual disturbances
• Intraoperative awareness
• Malignant hyperthermia

Post-Concerns about operative Urinary Retention

• Increase awareness of risk factors
• Evaluation and the latest treatment

Tips to Lower Potential Complications in High-Risk Populations

• Obese patients
• Pediatric patients
• Obstetricians
• Geriatric patients

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Description:

• Respond confidently to any cardiac or respiratory emergencies that may occur following surgery
• Make sure to remove all essential posts-To identify early concerns, op assessment strategies
• How can medications used in surgical cases pose problems when patients are admitted to the hospital?
• Emergent intervention for patients with sleep apnea.
• Documentation strategies for crisis post-Situations involving op patients
• Anticipate the unique needs for your Obese, Pediatrics, Geriatrics & Obstetrics patients

Post-Operative complications can be deadly if they are not caught and treated promptly. These complications can cause prolonged hospital stays, higher costs, and a diminished quality of your life. This seminar is ideal for anyone who has ever had to administer sedation or anesthesia in an operative, interventional, or diagnostic setting. This seminar will use case studies and the most recent evidence.-Guidelines for best practice Michael GrecoCAPA, DNP and CPAN will increase your knowledge of the factors involved in post-operative risk.

Many post-Possible complications during surgery,-Deathly malignant hyperthermia may occur within the first 24 hours.-operative period. You may also encounter other complications in the post-operative period.-up care provided. Attend this seminar to learn about the many components required to properly evaluate patients after surgery. This includes current (sometimes subtle), assessment findings that may flag something more serious, patient safety considerations and strategies to avoid crisis situations.