According to various polls conducted among medical negligence solicitors, nearly 25% of surgery negligence court cases are associated with errors and negligence conducted within the complex of preparatory works. In this article we will focus on the most essential aspects of preparation measures before surgery operations. From psychological training to common, yet vital medical procedures, we’ll cover the entire scope of preparation measures.
This is how it should go if the surgery is appointed
The majority of the applicants in the surgical department patients undergo surgery. Preoperative period lasts from the moment of admission to the operation. The complex of procedures during preoperative period is carried out in order to reduce risk-taking measures to prevent complications. On the first day of admission psychological training must be provided. Instilling confidence in a patient as for the successful outcome of the operation and recovery depends not only on the doctor, but on nursing personnel that is constantly in contact with the patient. This is facilitated by positive emotions, music, reading, talking in strictly defined hours, recommended by the doctor. A vital role is plays the fact that patients preparing for surgery get in contact with patients who have already borne the same operation and prepares for discharge.
In the preoperative period sedatives may be prescribed, special attention is given to the patients in the first days of stay in the office and on the eve of the operation due to the fact that at that time emotionally stress states are most likely to occur.
The common preparation measures
General preparation for elective surgery includes conducting all the researches related to the establishment of the diagnosis, detection of complications of the underlying disease and associated diseases, as well as determination of the functional condition of vital organs. It is important to find out whether the patient was subjected to allergies, whether he was taking medications (especially corticosteroids, antibiotics, anticoagulants and barbiturates). These moments are sometimes rather identified by nursing personnel in the monitoring of patients and contacting with them. Among the elements of the main survey lies measuring height and body weight of the patient, conducting a clinical analysis of blood and urine, blood group and Rh factor, X-rays of the chest and the spirometry, electrocardiography and feces study on helminth eggs.
The preoperative preparation includes dental health, sometimes removal of the tonsils (or pharmaceutical treatment) that improves the cardiovascular system. For the prevention of complications in the respiratory system the patients are instructed on how to breathe (take a deep breath and a long exhale through the mouth) and cough in the first few hours after surgery to prevent delay and stagnation secretion in the airways. With the same purpose on the eve of the operation, sometimes at night, medical warming may be conducted. Of course, in preparation for the operation comorbidities should be taken into configuration.