OR Notes 1020.docx - Management of Perioperative Patients...

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Management of Perioperative Patients Surgery is classified by: purpose, location and extent of surgery, degree of surgery Three Phases of Perioperative Period Preoperative o Begins with decision to have surgery, lasts until patient is transferred to operating room Intraoperative o Extends from admission to surgical department to transfer to recovery room Postoperative o Lasts from admission to recovery room to complete recovery from surgery **Main concern=safety Reasons for Surgery Diagnostic o Determines origin/cause of disorder o Ex. Biopsy, arthroscopy Curative o Resolve health problems; repair/removal o Ex. Pancreatitis (remove pancreas), hysterectomy Restorative o Improve functional status o Ex. Arthritis in hip, hip replacement Palliative o Relieve sx of disease but does not cure o Ex. getting portion of tumor cut out/ tumor debunking Cosmetic o Enhance/alter appearance o Ex. Liposuction, revise scars (severe burn pt with scar tissue Urgency, Degree of Risk, Extent of Surgery Urgency o Elective: Non-acute, planned Cataract removal, hip/knee

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