Planning an individual operation

Planning an individual operation

Operative procedures in a multiply injured patient in a crit ical physiological state can be essential for their survival. It is vital to make the right decision the first time. This can be successfully done by studying in detail the history , the patient’s condition and any interventions made, followed by appropria planning and execution of treatment. For example, analysing the biochemical markers, overall physiological state and frac ture pattern and deciding factors such as patient positioning, the surgical approach to be used to gain adequate access to a bone for reduction, the type of implant to be used, the correct positioning of the implant, soft-tissue handling and the type of rehabilitation are just some of the parameters f or consid eration. Summary box 26.8 The response to trauma /uni25CF /uni25CF /uni25CF The surgeon should ask themselves (and ensure that they have answered) questions such as: Is it the optimum time to carry out the procedure? Am I the most appropriate person should the procedure become di ffi cult to complete? What is my plan A, B and C so I am able to successfully finish the procedure? Recording all the important issues on a piece of paper, or suitable alternative, will ensure that no parameter of importance is left out of the planning. In order that the pro - cedure runs smoothly in theatre, the plan can be documented on the whiteboard. Such a practice will allow every member of the surgical team to be aware of the potential issues to be addressed and the plan of action that has been decided. The appropria te surgical equipment for plans A, B and C can be clearly identified and kept in close proximity to the operating theatre. The above strategy will eliminate unnecessary detail and ensure that there will be no surprises, for instance essential equipment being unavailable.

Rationalise patient management with the development of protocols and guidelines Avoid unnecessary delays Observe trends and promptly identify evolving conditions

Planning an individual operation

Operative procedures in a multiply injured patient in a crit ical physiological state can be essential for their survival. It is vital to make the right decision the first time. This can be successfully done by studying in detail the history , the patient’s condition and any interventions made, followed by appropria planning and execution of treatment. For example, analysing the biochemical markers, overall physiological state and frac ture pattern and deciding factors such as patient positioning, the surgical approach to be used to gain adequate access to a bone for reduction, the type of implant to be used, the correct positioning of the implant, soft-tissue handling and the type of rehabilitation are just some of the parameters f or consid eration. Summary box 26.8 The response to trauma /uni25CF /uni25CF /uni25CF The surgeon should ask themselves (and ensure that they have answered) questions such as: Is it the optimum time to carry out the procedure? Am I the most appropriate person should the procedure become di ffi cult to complete? What is my plan A, B and C so I am able to successfully finish the procedure? Recording all the important issues on a piece of paper, or suitable alternative, will ensure that no parameter of importance is left out of the planning. In order that the pro - cedure runs smoothly in theatre, the plan can be documented on the whiteboard. Such a practice will allow every member of the surgical team to be aware of the potential issues to be addressed and the plan of action that has been decided. The appropria te surgical equipment for plans A, B and C can be clearly identified and kept in close proximity to the operating theatre. The above strategy will eliminate unnecessary detail and ensure that there will be no surprises, for instance essential equipment being unavailable.

Rationalise patient management with the development of protocols and guidelines Avoid unnecessary delays Observe trends and promptly identify evolving conditions

Planning an individual operation

Operative procedures in a multiply injured patient in a crit ical physiological state can be essential for their survival. It is vital to make the right decision the first time. This can be successfully done by studying in detail the history , the patient’s condition and any interventions made, followed by appropria planning and execution of treatment. For example, analysing the biochemical markers, overall physiological state and frac ture pattern and deciding factors such as patient positioning, the surgical approach to be used to gain adequate access to a bone for reduction, the type of implant to be used, the correct positioning of the implant, soft-tissue handling and the type of rehabilitation are just some of the parameters f or consid eration. Summary box 26.8 The response to trauma /uni25CF /uni25CF /uni25CF The surgeon should ask themselves (and ensure that they have answered) questions such as: Is it the optimum time to carry out the procedure? Am I the most appropriate person should the procedure become di ffi cult to complete? What is my plan A, B and C so I am able to successfully finish the procedure? Recording all the important issues on a piece of paper, or suitable alternative, will ensure that no parameter of importance is left out of the planning. In order that the pro - cedure runs smoothly in theatre, the plan can be documented on the whiteboard. Such a practice will allow every member of the surgical team to be aware of the potential issues to be addressed and the plan of action that has been decided. The appropria te surgical equipment for plans A, B and C can be clearly identified and kept in close proximity to the operating theatre. The above strategy will eliminate unnecessary detail and ensure that there will be no surprises, for instance essential equipment being unavailable.

Rationalise patient management with the development of protocols and guidelines Avoid unnecessary delays Observe trends and promptly identify evolving conditions