consents and complications related to certain procedures

[sugababe81]

i'm trying to put together a list of potentials related to specific procedures (for future interns, for med students).

what kind of complications do you think of for: hernias, lower extrem bypass, angio, lap chole/appy, craniotomy, amputations, lines? Or:
Laparoscopic surgery: bile duct injury, ?
Bowel surgery:
Cholecystectomy:
Appendectomy:
Thoractomy:


Another ques - what is the diff between: portacath, hickmanns?

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[Bitsy3221]

As someone noted on another thread you started today, why don't you read your surgical text? You'd probably retain the information better looking it up yourself as opposed to asking on a message board.

 

[Winged Scapula]

Ughh...the potential complications are so numerous as to be too much to list here. Basically every operation can have bleeding, infection and potential need for further procedures.

For laparoscopic procedures, you can generally add: injury to nearby structures, need to convert to open procedure

For procedures, biopsies being done for diagnosis: include non-diagnosis (ie, you still can't figure out what is wrong with patient)

For procedures with anastomoses: anastomotic leak, rupture, stenosis

For central lines: infection, bleeding, pneumo or hemothorax (for non femoral lines), potential need for further procedure (ie, chest tube), shearing of vessel

The difference btwn lines:

There are a lot of names to refer to central venous access or ports. A temporary central line can be referred to as a CVP line, TLC or triple lumen, double or quad lumen or just a "line". PICCs are examples of central lines, but peripherally inserted and these can stay in longer. Vas caths are centrally inserted lines similiar to a TLC but are larger bore and designed for dialysis.

Ports can be all internalized such as a Medi-Port, Port-A-Cath, Chemo-Port, Broviac or they can have external portions: Hickman, Groshong, etc. The different names just reflect different manufacturers. All you need to know is whether you are placing a full implantable port (seems to be most common) and whether you need a single or double lumen; the brand name doesn't make a difference.