#11

11) Discuss the complications of surgery.
Unanticipated intraoperative events occasionally occur. Although some might be anticipated (e.g., cardiac arrest in an unstable patient, massive blood loss during trauma surgery), others may occur without warning, demanding immediate intervention by all members of the OR team. Two such events are anaphylactic reactions and malignant hyperthermia.
Anaphylaxis is the most severe form of an allergic reaction, manifesting with life-threatening pulmonary and circulatory complications. An anaphylactic reaction causes hypotension, tachycardia, bronchospasm, and possibly pulmonary edema. Antibiotics and latex are responsible for many perioperative allergic reactions.
Malignant hyperthermia is a rare metabolic disease characterized by hyperthermia with rigidity of skeletal muscles that can result in death. It occurs in affected people exposed to certain anesthetic agents. Succinylcholine (Anectine), especially in conjunction with the volatile inhalation agents, appears to be as stress, trauma, and heat, have been implicated. Other complications are: pain, respiratory, mobility, bowel, urinary, death.
Lewis pg 390 and powerpoint