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ICU SAQsCardiovascular / perioperative

ICU SAQs · Cardiovascular / perioperative

Postoperative complications — recognition and management

A CICM SAQ on postoperative ICU complications — the big six (bleeding, respiratory, infection, delirium, AKI, VTE), the recognition, and the ERAS prevention protocol.

10 marks10 min2 min readSource-verified ·

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CICMFFICMEDIC
Prompt
Describe the prevention, the recognition, and the management of the common postoperative complications in the ICU.

Question

Describe the prevention, the recognition, and the management of the common postoperative complications in the ICU.

ICU Fellowship (CICM) Pro

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You have read the opening of this SAQ. The complete unit — every section and its primary-source references — is part of the ICU Fellowship (CICM) fellowship library.

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References8ShowHide
  1. [1]Magruder JT, Belmustakov S, Ohkuma R, et al. Attributable harm of severe bleeding after cardiac surgery in hemodynamically stable patients. General thoracic and cardiovascular surgery, 2017.PMID 27650660
  2. [2]Miskovic A, Lumb AB Postoperative pulmonary complications. British journal of anaesthesia, 2017.PMID 28186222
  3. [3]Odor PM, Bampoe S, Gilhooly D, et al. Perioperative interventions for prevention of postoperative pulmonary complications: systematic review and meta-analysis. BMJ (Clinical research ed.), 2020.PMID 32161042
  4. [4]Oodit R, Biccard BM, Panieri E, et al. Guidelines for Perioperative Care in Elective Abdominal and Pelvic Surgery at Primary and Secondary Hospitals in Low-Middle-Income Countries (LMIC's): Enhanced Recovery After Surgery (ERAS) Society Recommendation. World journal of surgery, 2022.PMID 35641574
  5. [5]American Geriatrics Society Expert Panel on Postoperative Delirium in Older Adults American Geriatrics Society abstracted clinical practice guideline for postoperative delirium in older adults. Journal of the American Geriatrics Society, 2015.PMID 25495432
  6. [6]Gumbert SD, Kork F, Jackson ML, et al. Perioperative Acute Kidney Injury. Anesthesiology, 2020.PMID 31687986
  7. [7]Myles PS, Bellomo R, Corcoran T, et al. Restrictive versus Liberal Fluid Therapy for Major Abdominal Surgery. The New England journal of medicine, 2018.PMID 29742967
  8. [8]Bergqvist D, Agnelli G, Cohen AT, et al. Duration of prophylaxis against venous thromboembolism with enoxaparin after surgery for cancer. The New England journal of medicine, 2002.PMID 11919306
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