Code(Credit) : CUTM1828 301(3-0-1)

Course Objectives

After completion of the course we are able to understand the post operative care including complications,
Treatment and care.

Learning Outcomes

Understand the evaluation and management of common immediate post anesthesia conditions and
complications including:
 Airway management
 Acute postoperative pain
 Nausea and vomiting
 Hypothermia
 Hypotension
 Hemorrhage
 Altered mental status
 Cardiac dysrhythmias
 Airway management - suction, oropharyngeal airways,
 endotracheal intubation and noninvasive ventilation c)Mechanical ventilation: modes, lung
protective strategies
 weaning and unconventional approaches
 Monitoring: ECG, pulse oximeter, invasive and non-invasive blood pressure.

MODULE-I Setting up of PACU- Definition of PACU, Set up Staff/patient ratio, Monitoring in PACU, Admission and discharge criteria, Criteria for Shifting into PACU, Aldred score, Discharge criteria, Fast trackig

MODULE-II Post Operative Complications And Its Management

Airway obstruction, desideration, bronchospasm, laryngospasm, Unresponsiveness

Neurological complications. - Coma, seizures, CVA(stroke), cerebral hypoxia,

Pulmonary edema, Haemorrhage from the surgical site, vascular complications-. DVT, embolism,(thrombus, air, fat, amniotic)

Trauma to teeth, Headache, Backache, Ocular complications -loss of vision

MODULE-III Shock-Anaphylactic shock, hypovolemic shock management

hypoxia and its management.

   MODULE-IV Surgical Procedures

Gynecological/obstetric surgery

General surgeries Procedures

Urological surgery

Orthopedic surgery

Neurosurgery

Ophthalmic surgery

Otorhinolaryngologic and head and neck surgery (ENT)

Cardiac surgery

MODULE-V Post operative pain relief- * Management of postoperative pain- narcotics, NSAID(im/iv), local anesthetics through catheters, transdermal patches.

MODULE-VI: Causes of mortality in PACU- * Mortality -myocardial infarction, arrhythmias, hypoxia, electrolyte imbalance, massive haemorrhage, embolism.

MODULE VII: Fluid Therapy * Fluid and electrolytes * Blood and blood components * Plasma

Allergies and reactions and its management *  Informed consent * Use of body tissue and organ transplant * Records in OT , medico-legal cases

Recommended Books
1. Paul Marino -The ICU Book -4th edition
2. Berry, Edna Carnelia & Marie Louis Kohn-Introduction to OR techniques -4th edition

3. Brigden, Raymond.J-OT technical-5th edition
4. Dixon, Elleen-Theater techniques-5th edition Reference books
5. Nurse Anaesthesia by Nagelhout and Plans-5th edition (2014) Elsevier
6. Drugs by Pramila Bajaj- clinical anaesthesia-13thedition

Session Plan 1

post operative

https://youtu.be/9WAdQkWXOgQ