Common Post-operative Complications

🔑 Key Priorities

  • Early recognition of deterioration

  • Stabilise patient and identify treatable causes


🧠 Team Actions

Role

Task

Team Leader

Coordinate assessment and escalation

Airway Manager

Oxygenate, monitor for obstruction

Circulation

Monitor haemodynamics, gain IV access


🧭 Common Scenarios and Immediate Actions

  1. Hypoxia: Check airway patency, oxygenate, consider CXR

  2. Hypotension: IV fluids, identify cause (bleeding, sepsis, cardiogenic)

  3. Oliguria: Fluid challenge, assess perfusion, check catheter

  4. Agitation/Delirium: Rule out hypoxia, hypoglycaemia, pain, drugs

  5. Pain: Reassess analgesia, consider PCA/nerve block

  6. Nausea/Vomiting: Antiemetics, rule out obstruction or ileus


🔄 Ideal Crisis Flow

        Postoperative Deterioration
                    ↓
     ABCs + Basic Monitoring + Examine Patient
                    ↓
    Treatable Causes: Hypoxia, Bleeding, Pain, Drugs
                    ↓
       Escalate to Surgeon or ICU as Required

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