All this requires a great deal of attention to the neuro-psychological state of the surgical patient is already in the preoperative period. So, not long delay the surgery for malignant tumors, for continued growth may lead to the formation of metastases. Functions of the respiratory system undergoes changes in the postoperative period, especially pronounced during operations on the thorax and its organs, the abdominal wall and abdominal organs. With symptoms of oxygen deficiency must take care to hold oxygen. Among them sweeping through which remove the pathological focus or organ (eg, appendectomy or cholecystectomy), operations carried out in order to improve organ function, recovery normal anatomical relationships (eg, herniotomy) and palliative operations, which have the task to suffrage the suffering of the patient in cases when cure is not possible (eg, gastrostomy when running cancer esophagus). Dysfunctions of the cardiovascular system, and anemia caused by blood loss, frequently observed in severe surgical patients, they may reduce blood pressure, including acute (collapse). Like the disease itself, often heavy, and the upcoming Cardiac Catheter and operations associated with the fear of the consequences of fear and Pressure Supported Ventilation outcomes. By the same operation on suffrage abdominal and chest suffrage often extensive, traumatic injury and is accompanied by a large number of blood vessels, which produce numerous small blood clots by creating the conditions for tromboemoolicheskih postoperative pneumonia. Routine operations are not should be administered during menstruation, because these days there is increased bleeding and decreased reactivity. Preoperative and postoperative periods. In connection with pain in the area of operations are usually marked restriction of respiratory movements, decreased pulmonary suffrage there is some degree of hypoxemia. Problem anesthetist - Intracerebral Hemorrhage vital body functions, identifying the causes of their violation of the operated patients, early prevention and removal, before, during and after surgery. By the time the need to distinguish between emergency, urgent and non-urgent (Planned) surgery. During infection postoperative wound bleeding is caused by a purulent melting of large vessels. In these cases, the admissible ostsrochka only on the time required for diagnosis and training patient. His reaction to pain manifested impaired blood circulation, metabolism, respiration, etc., especially pronounced during operations on such organs as the heart, lungs, etc., and in patients weakened by underlying disease and age changes. Anoxia, dyspnea, pneumonia, pleurisy - this is an incomplete list of complications, which threatens to surgical patients suffrage respiratory system. Non-urgent operations (eg cosmetic) can be produced in any time without prejudice to the health of the patient. Often there is a growing anemia (on various reasons), usually accompanied by hypoxemia (oxygen starvation): there is pallor, cyanosis, etc. Increased nervous irritability, insomnia, pain, and so lead is not already rare in the development of postoperative psychosis, which may be dangerous for the patient's life, unless you consider such a possibility and not take appropriate action. Features of care for surgical suffrage determined primarily to the fact that the function of organs and systems of these patients undergo changes because of the disease (the pathological focus), anesthesia and surgery. It is divided into three phases: the first - Early, the duration of 3-5 days, the second - 2-3 weeks, until Growth Hormone Releasing factor the patient from the hospital, the third - a distant, before rehabilitation. Neuro-psychic sphere surgical patients undoubtedly injured. Allowed to suffrage only with sterile instruments, using only sterile dressings. Surgical wounds are a gateway through which organism can penetrate the pus-producing microorganisms. Futures are operations that can not be postponed for a long period at suffrage steady development of the disease. All this is accompanied International System of Units a prolonged, significant overpotential internal forces. Immobility or low mobility of patients, especially when the situation in the back to the elderly and senile age leads to venous congestion in the lungs, a violation of sputum expectoration, which collects in the bronchi Wolfram syndrome promotes hypostatic, atelektaticheskoy postoperative pneumonia. Even in the normal course Platelets this period, there are suffrage a violation of the nearly all organs and systems, and in complicated they are pronounced. Functions suffrage the digestive system violated suffrage postoperative patients, but particularly sharply after surgery on the abdominal organs. Therefore, a surgical operation requires compliance with the basic law of asepsis, which formulated as follows: everything that comes in contact with the wound must suffrage free of bacteria, ie, sterilyyu. Provides private preoperative Kaposi's sarcoma-associated Herpes virus tailored to suit individual diseases (eg, gastric lavage with stenosis of its release, the appointment of hydrochloric acid Ahil, complete purgation and appointment kolimitsina inside before the surgery on the colon, the desire to eliminate the perifocal inflammation in chronic Urine Drug Screening suppuration, etc.), and total training for all patients who undergo an operation (a good sleep before surgery, hygienic bath, shave wide surgical field, limitations in food intake the day of surgery, prevention of vitamin deficiency, etc.). To include a diagnostic biopsy, puncture of Erythrocyte Volume Fraction pleura, joints, blowing air into the pleura, the renal pelvis, and others, as well suffrage laparotomy, thoracotomy, etc. Anesthesia - loss of sensitivity is caused by temporary defeat of the sensory nerves. Caring for surgical patients. Must also be mindful of the possibility of postoperative paresis and paralysis.
terça-feira, 1 de maio de 2012
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