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the common causes of post-op fever??

Discussion in 'Surgery and Surgical Subspecialties' started by xijin, Feb 28, 2007.

  1. xijin

    xijin Junior Member

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    in a TV show, <grey's anatomy>,

    MEREDITH said: Wind, water, wound, walking, wonder drugs. The 5Ws.

    so, who can give an explanation?

    than you very much!!
     
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  3. nutcancer

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    errr, i think:

    wind = atelactasis/pneumonia
    water = uti
    wound = incisional infection
    walking = dvt
    wonder drug = allergy
     
  4. GATC

    GATC Member

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    Yeap...that is also the order they occur in...unless you have fasciitis with clostridium, etc.
     
  5. xijin

    xijin Junior Member

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    thank you very much!!!:) :) :) :)
     
  6. xijin

    xijin Junior Member

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    Thank you very much !!!:) :) :) :) :)
     
  7. msl2007

    msl2007 Senior Member

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    The ob folks will have you add a 6th W: womb (= basically anything in it but PID and pregnancy esp or perimenopause that happens to hit right after surgery :) )

    also, for wonder drug, it isn't just allergy, but "drug fever"- a somewhat random fever in response to a drug or drug combo, esp the heavy hitting abx.
     
  8. bcoak

    bcoak New Member

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    As a future surgery resident, I know it's surgical dogma that atelectasis causes fever, but evidence has been shown for at least 30 years that this simply is not true. Take a look at the following reference:

    "Lack of Association Between Atelectasis and Fever" Chest 1995, 107: 81-84.
     
  9. RichL025

    RichL025 Senior Member

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    I agree, I've looked at those studies myself.

    Then again, I've seen time & time again, a temp drops a degree or more less than a half hour after the nurses start nagging about IS use... not even tylenol would work that quick...
     
  10. bcoak

    bcoak New Member

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    Agreed Rich. And as a resident, I'm sure when the nurse bugs me about post-op fever, I'll throw out the IS or have them cough or anything else to get the nurse off my back. But it's b/c I am just trying to pacify the nurse, not b/c I actually think that the atelectasis is causing fever. You and I both know that the fever is likely benign, but since we have to come up with a response for hte nurse, I don't mind pacifying her for the time being, even though I know IS is a futile exercise and uneeded expense.
     
  11. Surgeon24

    Surgeon24 Member

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    Just the inflammatory response of surgery Post-op #1-2 explains the benign fever. But still, I tell the patient and nurses to start pumping the spiro.
     
  12. gerickson03m

    gerickson03m Junior Member

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    Atelectasis does not cause fever, otherwise you would have fever every morning. post op fever like D1 is from the surgery and cytokines.
     

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