Clinical Procedure
 
Aliases:
Long surgery
Lengthy surgery
Lengthy operation
Lengthy procedure

Topic aliases are alternate phrasings for a particular topic.


At risk of intraoperative hypothermia. Consider fluid warmer, forced air-warmer, and temperature probe for cases >1hr duration.

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During prolonged surgery consider calling the nominated relative to reassure them, particularly if the duration is longer than was expected.
#familysatisfaction

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Consider inserting an arterial line for prolonged procedures in which serial blood samples will be taken to avoid repeated venepuncture.

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Insert urinary catheter to avoid hypertension from a distended bladder. This may complicate the assessment of analgesic or anesthetic requirements.

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Repeat doses of antibiotics may be needed during very long cases.

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An alternative to foam padding for feet or joints if not available is a water filled glove.

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For prolonged cases, ensure any folds or knots in the sheets under the patient are flattened out to reduce risk of pressure sores.
#safety

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An iPhone with Siri is useful to help remind you to give repeat medications intraoperatively. Eg.
"Remind me to give antibiotics in three hours "

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