Dr. Michael Greco – Post-Op Emergencies

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 Dr. Michael Greco – Post-Op Emergencies

Critical Elements of Perianesthesia Care

• Co-Anesthesia and existing diseases
• Levels of sedation (conscious sedation) and benefits/ disadvantages (MAC, general)
• Standard versus emergency intubation techniques and equipment
• Differentiating between epidural and spinal blocks
  • Safe management
  • Management and emergency identification of complications
  • Regional nerve blocks (Neck region, upper and lower extremity, eyes, neck)
• Identifying possible emergencies and complications that may arise from regional blocks
  • Horners syndrome
  • Pneumothorax, vertebral arterial injection
  • Hematoma and intravascular injection

Anesthetic Medication Complications

• Pharmacokinetics, pharmacodynamics
• Benzodiazepines
• Opioids
• Induction agents
• Inhalation agents physiology
• Non-polarizing and depolarizing-depolarizing muscle relaxants
• Competitive antagonists of the Acetylcholine receptor
• Antiemetics
• Common emergency medication in the perianestheisa setting

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

• Modulation of pain
  • Non-pharmacologic and pharmacologic-Use of pharmacologic methods
  • Physiologic complications arising from pain
• Local Anesthetic Systemic Toxicity (LAST).
  • Signs and symptoms (early or late)
  • Treatment algorithm
  • Post-op Nausea & Vomiting (PONV).
  • Risk factors, medication management, prophylaxis and rescue therapy
  • Hypothermia: Heat loss physics and delayed awakening, warming interventions
  • Perform a thorough, but focused, physical assessment (systems review).

Respiratory Emergent Problems (Real Life Case Studies).

• Airway obstruction: Upper or lower
• Muscular weakness of the pharyngeal muscles
• Paralysis of vocal cords due to laryngospasm
• Edema of the airway
• Other airway emergencies
  • Postoperative cervical hematoma
  • Foreign bodies
  • Anesthesia residual effects
  • Pharmacologic reversal
  • Compromised oxygen exchange
  • Bronchospasms
  • Non-Cardiogenic pulmonary edema
  • Hypoventilation or hypoxia
  • Pulmonary embolism
  • Pseudeocholinesterase deficiency
  • Atelectasis
  • Aspiration
  • Pneumothorax
  • Emergency tracheotomy

Obstructive sleep apnea airway complications (Real Life Case Studies).

• Physiology and anatomy of OSA
• Comorbidities of concern
• Diagnosis
• Planning for treatment
• Emergencies
• The effects on ventilation and airway management
• Implications for care in the perianesthesia setting

Cardiovascular Emergent Complications (Real Life case studies)

• Pulmonary edema
  • Fluid overload
  • LV failure
  • MV dysfunction
• Hypertension and Hypotension
• Postoperative dysrhythmias
• Myocardial Infarction
• Hypervolemia and hypervolemia

Neuropsychiatric Emergent Complications (Real Life Case Studies).

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

Post-Concerns about operative Urinary Retention

• Awareness of risk factors should be increased
• Evaluation and the most up-to-date treatment

Tips to Reduce Possible Complications for 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
• Be sure to take away any essential post-Strategies for op assessments to identify early concerns
• How can medications used in surgical cases present problems afterward when patients are admitted to the floor?
• Emergent interventions for patients suffering from sleep apnea, known or not
• Documentation strategies for crisis post-Situations where an op patient is needed
• Anticipate the unique needs for your Obese, Pediatrics, Geriatrics & Obstetrics patients

Post-If they are not treated promptly, operative complications could prove fatal. Complications can cause prolonged hospital stays, increased costs, and a diminished quality of your life. This seminar is for those who care for patients who have had sedation, anesthesia, and analgesia in an operative, interventional, or diagnostic setting. This seminar will use case studies and the most recent evidence.-Based practice guidelines Michael GrecoCAPA, DNP, CRNA and CRNA will help you understand the factors that affect post-operative risk.

Many post-Operative complications, including potentially-In the immediate aftermath of a severe malignant hyperthermia can occur, it can be fatal-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 could flag something more serious, increased patient safety considerations, strategies to prevent crises situations from ever happening, and strategies to avoid them.