Surgery 2
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| 5 contraindications for laparoscopic surgery | ongoing intra-abdominal sepsis, bowel obstruction, morbid obesity, pregnancy, cardiopulmonary compromise
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| 7 operations that can be performed using laparoscopic technique | evaluate ab trauma, stage intra-ab cancers, biopsy, gastric bypass, appendectomy, cholecystectomy, splenectomy
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| most common complication of laparoscopic surgery | bleeding, infection, bowel obstruction
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| advantages of minimally invasive surgery | reduced post-op pain, reduced hospital stay, quicker return to normal, improved cosmesis, reduced wound complications associated with large scar
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| disadvantages of minimally invasive surgery | expensive equipment, need for additional training, loss of tactile sensation, loss of 3D vision, general anesthesia necessary
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| 4 procedures that can be performed thoracopically | lung biopsy, wedge resection, pericardial window, pleurodesis in pneumothorax
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| pre-operative testing necessary in a patient <50 y/o prior to orthopedic surgery | none
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| pre-operative testing necessary in a patient 50-75 y/o prior to orthopedic surgery | EKG
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| pre-operative testing necessary in a patient >75 y/o prior to orthopedic surgery | EKG and H/H
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| guidelines for pre-operative antibiotics | cefazolin 1gm IV on call to OR given 1 hour prior to OR
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| two methods utilized in prophylaxis of postoperative DVT | TED hose, LMWH/coumadin
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| metabolic abnormality associated with post-operative infection | perioperative hyperglycemia
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| What intervention helps to reduce the risk of perioperative hyperglycemia | intraoperative insulin
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