ipl-logo

Laparoscopic Splenectomy Case Study

790 Words4 Pages

Laparoscopic splenectomy is preferred over open splenectomy as it is safe and effective.29It has an exclusion criterion for the following cases; trauma, portal hypertension and high anesthesia risk due to cardiorespiratory and allied conditions.29 A patient with an indication for splenectomy has to undergo a few preoperative examinations as well as vaccinations. A spiral CT scan is used to check the size and volume of the spleen, as well as accessory splenic tissue preoperatively.30 Vaccination against pneumococcal, meningococcal and Haemophilus influenza type B infection is of standard recommendation two-three weeks prior splenectomy.30 Under general anesthesia, the patient is placed laterally on the right decubitus position with the left …show more content…

These patients are at a greater risk of infection from encapsulated bacteria – i.e. Streptococcus pneumonia, Haemophilus influenza serotype b (Hib) and Neisseria meningitidis. They are, thus, predisposed to infectious conditions elicited by these bacteria – e.g.: bacterial meningitis, bacterial pneumonia, and clinically significant respiratory and GIT infections.36-37 However, other types of infections may be due to Gram negative bacteria such as, Capnocytophaga canimorsus and the malaria parasite P. falciparum.36The incidence of post-splenectomy infections is 0.5% with 50% mortality; with children enduring severe infections. Literature reveals that the incidence of infections is higher in the 2 years following the surgery, especially from pneumococcal infections. The management of splenectomized patients is critical in reducing the risk of post-infections. This involves: providing adequate education to the patient with regard to the immunological function of the spleen and the risk of infection by encapsulated bacteria, vaccination and antibiotic prophylaxis as the cornerstone of preventative treatment against these …show more content…

deep vein thrombosis, pulmonary embolism, coronary artery disease, myocardial infarction and ischemic stroke). 36-37There is no definitive treatment for PVT however prophylaxis using a combination of low molecular weight heparin and/or warfarin and/or thrombolytic agents is the cornerstone of managing the

Show More
Related

  • Kelly Malone Case Summary

    242 Words  | 1 Pages

    Justin is the registered nurse that has been given the handover for Kelly Malone’s postoperative care in the surgical unit. Kelly Malone is a 49 female patient who has had a septoplasty and a right ethmoidectomy. Justin is working with Kelly to identify Kelly’s needs in order for Kelly to be discharged from the hospital. Kelly’s postoperative observations were a temperature of 36.2 degrees celsius; heart rate of 68 beats per minute; respiratory rate of 18 breaths per minute, blood pressure of 111 systolic over 73 diastolic millimetres of mercury; oxygen saturation at 93 percent of room air and a self-rated pain score of two out of ten. Kelly has a history of ‘not being able to breathe well through her nose’ and a history of disturbed sleep.

    Read More

  • Unit 7 P7 Health And Social Care

    1694 Words  | 7 Pages

    In the paediatric ward in hospitals infection control and prevention is very important. Service users in hospital are much more prone to infections and diseases as they are already unwell therefore extra precautions are always taken. This includes service providers ensuring that their vaccinations are up to date, working in a

    Read More

  • Opioid Case Study

    1301 Words  | 6 Pages

    I. Inadequate Monitoring of Opioid-Induced Respiratory Depression Opioids are a category of pain medications that reduce the stimulus of pain signals sent from the brain. Within this category are medications such as hydrocodone, oxycodone, morphine, codeine, and other similar drugs. These medications are used to treat mild to severe pain depending on dosages and type of opioid given. With the reduced perception of pain also comes a plethora of unpleasant symptoms such as drowsiness, mental confusion, nausea, constipation, and, depending upon the amount of drug taken, can depress respiration. However, many experience a euphoric experience after administration that drives them to abuse opioids.

    Read More

  • Constraint Induced Movement Therapy

    1739 Words  | 7 Pages

    Traditional rehabilitation interventions have been only partially successful in achieving motor recovery in this patient population. Therefore, a number of interventions have been recently proposed in an attempt to improve functional outcomes. Intensive upper limb exercise [159], functional electrical stimulation [160], robotic therapy [161, 162], virtual reality [163], and constraint induced movement therapy [164, 165] are some of the approaches recently investigated to improve motor recovery in patients post stroke. Unfortunately, clinical outcomes of upper limb rehabilitation are still unsatisfactory in a large percentage of patients chronically [166].

    Read More

  • Stereotactic Biopsy Essay

    1001 Words  | 5 Pages

    Introduction Today, with the growing trend stereotactic biopsy, the management of brain mass lesions also been changed. Stereotactic biopsy through a small hole in the skull and done under local anesthesia and the total time for a brain biopsy to obtaining a sample is approximately 2 hours. As a result, this reduces the risk of complications for this reason most patients with a morning visit and biopsy will be able to be discharged after a night under observation period. Stereotactic biopsy provides the possibility to anywhere in the cranial cavity to be able to provide samples, including third ventricle, the region of the hypothalamus, brain stem, and posterior fossa. Stereotactic biopsy to detect any type of brain tumor seems feasible.

    Read More

  • Clearcorrect Braces: A Case Study

    1818 Words  | 8 Pages

    The effects of sedatives taken by orally can range from minimal to moderate. The most common drug used is Halcion. A low dose makes you drowsy, while a higher dose produces moderate sedation—you are conscious but groggy. If you fall asleep, Dr. Forbes can easily wake you up.

    Read More

  • Breast Augmentation Case Study

    765 Words  | 4 Pages

    Breast Augmentation Revision Baton Rouge At the Oaks at Goodwood Medical Spa in Baton Rouge, Dr. Thomas Guillot assists individuals who are interested in having a breast augmentation revision. The three most common reasons that individuals in Baton Rouge decide to have a breast augmentation revision include: 1. To increase/decrease the size of their implants.

    Read More

  • Chest Radiograph Essay

    569 Words  | 3 Pages

    According to R.T. Dan L. Hobbs in his article in the Radiologic Technology Magazine, “the chest radiograph is the most common radiographic procedure performed in medical imaging departments, and one of the most often repeated exams.” The Fall and Winter months bring about, not only a change in our weather, but also bring about an increase in clinical visits from individuals afflicted with a variety of seasonal illnesses such as; influenza, upper respiratory infections, and pneumonia. It is the job of the radiographer to ensure that the proper exams, as well as techniques are used to give the attending physician an internal view of the lungs, heart and thoracic viscera. These images help assist the physician in properly diagnosing the patient,

    Read More

  • Deep Vein Thrombosis Research Paper

    952 Words  | 4 Pages

    Deep vein thrombosis Deep vein thrombosis (DVT) is pathology of cardiovascular system. It happens when the blood clotting in a deep vein of the blood vessel are clumps together and become thick.

    Read More

  • Hepatic Lobectomy Research Paper

    689 Words  | 3 Pages

    Open Hepatic Lobectomy or Segmentectomy Hepatic lobectomy or segmentectomy is surgery to remove a part of the liver. This surgery is done when a part of the liver is diseased. The liver is the largest organ in the body and is involved in many important bodily functions. The liver contains two main lobes, right and left. Each lobe can be divided into segments.

    Read More

  • Anaesthetists: A Literature Review

    2486 Words  | 10 Pages

    There has been a growing request to the anaesthetists in the last decade to provide sedation outside the operating room for invasive and non-invasive procedures (1). If we consider this activity as a separate specialty and that it should be managed only by specialists in anesthesia for the potential life-threatening complications related to some adverse events reported in the literature (2), this could increase our workload by 70% (3,4). This conflicts with the upcoming shortage of anaesthetists around the world (5). As a result, different specialties apart anaesthesiology developed sedation training programs focused on adverse events and the interventions necessary to correct the situation (6), in an attempt to improve the safety of the procedure

    Read More

  • Argumentative Essay On Splenectomy

    112 Words  | 1 Pages

    Another procedure is the removal of spleen (splenectomy). An abnormally enlarged spleen can decrease the levels of blood cells (platelets) that allow blood to clot, and can also cause severe pain and contribute to anaemia. Although splenectomy has led to improvement in certain symptoms, this surgical procedure carries risks, which are weighed against benefits in each individual case. A pneumococcal conjugate vaccine should be given one month before surgery, if a splenectomy is required. For the first two years after surgery, 250 mg of antibiotic prophylaxis, usually penicillin is given twice a day.

    Read More

  • Patient Goals Case Study

    1290 Words  | 6 Pages

    Patient Goals: How will you know they are met? After performing the interventions, the goals will be evaluated and that is how it will be determined if the interventions are met or need modification. 1.The patient’s fluid output will be within normal range (400 to 2000ml) and the input will be within normal range (1200-1500 ml) in the next 1 to 12 hours. 2.The patient will have a systolic blood pressure of 120 mm Hg and a diastolic blood pressure of 80 mm Hg and a pulse within 60 bpm to 100 bpm in the next 24 hours.

    Read More

  • Clinical Reflection: The Implications Of A Certain Patient

    857 Words  | 4 Pages

    One significant event that occurred during clinical happened during week five and taught me the importance of learning what the implications are for a certain patient given their diagnosis. It taught me to ask what does a certain diagnosis mean for that particular patient and not just rely on general rules. One of my patients for that day had a brain tumour and it was causing confusion among other things.

    Read More

  • Laparoscopic Surgery Case Study

    828 Words  | 4 Pages

    Laparoscopic CRC Surgery Advanced variety of tools and treatment options are available to cure colorectal cancer, or at least enable CRC patients to cope with its complications and improve their life quality.1 Depending on the CRC stage, the patient situation, and the oncologist experience, the treatment choice is determined.1 Oncologists prefer surgical options with the premature CRC stages.1 Surgery is also preferred with metastasis unless the cancer has metastasized to more than one position of the body.2 Surgical options comprise laparoscopic surgery, robotic surgery and open surgery.3 Laparoscopic surgery and robotic surgery are highly advanced and the preferable ones since they are associated with minimal rates of morbidity and mortality.3,4

    Read More

More about Laparoscopic Splenectomy Case Study

Open Document