Evaluación Preoperatoria Dr. Balic

PRE Y POST OPERATORIO Módulo Cirugía Universidad del Mar Dr. Rubén Balic` Médico Anestesiólogo Marzo 2009

INTRODUCCIÓN ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

DEFINICIÓN ,[object Object],[object Object],[object Object],[object Object]

OBJETIVOS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

OBJETIVOS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

VALORACIÓN RIESGO ,[object Object],[object Object],[object Object],[object Object],[object Object]

QUIENES ,[object Object],[object Object],[object Object],[object Object],[object Object]

CUANDO DONDE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

ASPECTOS A CONSIDERAR ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

FICHA CLÍNICA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Factores riesgo paciente Riesgo de la Cirugía Capacidad Funcional

Morbimortalidad perioperatoria asociada a la Clasificación ASA

CAPACIDAD FUNCIONAL Requerimientos estimados de Energía para varias Actividades 1 MET Puede UD valerse por si mismo Comer, vestirse, usar el baño. Caminar dentro de la casa Caminar 1 o 2 cuadras a 3.2 – 4.8 km/hr. 4 MET Trabajo suave en la casa, sacudir, lavar platos. 4 -10 MET Subir escaleras o un cerro Correr una distancia corta Practicar Golf, bailar, tenis dobles. > 10 MET Participar en deportes competitivos Natación, tenis singles, esquí, Football. Adaptado del Índice de Actividad de Duke y estándares de ejercicio de la AHA

RIESGO QUIRÚRGICO ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

HISTORIA PERSONAL ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

ANAMNESIS DIRIGIDA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

CARDIOVASCULAR ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

RESPIRATORIO ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

RENAL ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

HEPATICAS - GI ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

DIATESIS HEMORRAGICA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

EXAMEN FISICO ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

VIA AEREA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

EXÁMENES ,[object Object],[object Object]

EXÁMENES ,[object Object],[object Object],[object Object]

EXÁMENES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

EXÁMENES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

EDUCACIÓN ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

CONSENTIMIENTO INFORMADO ,[object Object],[object Object],[object Object],[object Object],[object Object]

AYUNO ,[object Object],[object Object],[object Object],[object Object]

FARMACOS PREOPERATORIOS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

PREMEDICACIÓN ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

CLASIFICACIÓN HERIDA CX ,[object Object],[object Object],[object Object],[object Object]

HERIDA LIMPIA ,[object Object],[object Object],[object Object],[object Object]

HERIDA LIMPIA-CONTAMINADA ,[object Object],[object Object],[object Object]

HERIDA CONTAMINADA ,[object Object],[object Object],[object Object]

HERIDA SUCIA-CONTAMINADA ,[object Object],[object Object],[object Object]

MONITORIZACIÓN ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

PROBLEMAS INMEDIATOS ,[object Object],[object Object],[object Object]

DOLOR POSTOPERATORIO ,[object Object],[object Object],[object Object],[object Object]

MANEJO DOLOR ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object]

Evaluación Preoperatoria Dr. Balic

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Evaluación Preoperatoria Dr. Balic