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Surgery… a risky business

NCEPOD Report: Knowing the risk. (Image credit: NCEPOD, source) So, what do we know so far about perioperative risk? We know that: Approximately 1 in 5 patients will sustain a …

Bedside safety checks and preparation

Before receiving a patient, after their discharge or, effectively at the handover moment at the start of your shift, you will be confirming that the bedside is ready and suitable. …

Working up the pain ladder

Now that we have introduced the concept of the pain ladder, this section will concentrate on the different classifications of analgesia that you might use in the perioperative period. Step …

Postoperative care of the Colorectal patient in POCU

There are a few postoperative complications to be aware of following colorectal surgery. These can be classified into general and specific complications: Stomas Bowel diversion surgeries. (Image credit: National Institute …

What is delirium?

Let’s begin with a definition and an introduction to the common signs and symptoms of delirium, and how we can gain confidence in diagnosing it. Delirium is a syndrome, which …

Feeding in POCU

As we have mentioned, early enteral nutrition is key in the postoperative period. The optimal way to feed a patient postoperatively is via the oral route, however, there will be …

What tools do we have to assess risk?

Can we be more precise in defining risk for patients? So, in an ideal world, a risk prediction tool would allow the Perioperative Care Team to calculate a patient’s risk …

Prehabilitation

Please take a minute to watch the video above. Here, Dr John Whittle from University College Hospital London introduces the concept of prehabilitation and getting high-risk patients ready for major …

The Context of POCU

So far we have made a gentle introduction to the POCU in the context of the principles of perioperative medicine, giving ample consideration to the different perioperative risks patients have …

Protecting the Airway

Physical barriers & reflexes protect the airway and the lungs from foreign bodies (e.g. particles of various sizes). Nasal hairs act as a physical barrier to foreign body inhalation and …

Blended Learning Package

To complement the 8-week online Future Learn course: ‘Road to recovery – Mastering Postoperative Care of the High-Risk Patient’ we have also written a blended learning package. What is blended …

Anaemia and the Gynae-Oncology Patient

Mrs Taylor continued… Predictably the blood results will not be available for more than an hour, so you decide to run a blood gas on Mrs Taylor to check her …

Surgery School

Patient education prior to surgery is an established part of the preoperative pathway. It is widely accepted that those patients who are well prepared, both physically and mentally, prior to …