Obstructive jaundice and perioperative management

Investigation and management of obstructive jaundice

obstructive jaundice is a medical emergency. local guidelines should be in place and widely publicized to facilitate timely investigation and management and avoid complications. Management must involve a multidisciplinary team that can offer a full range of investigative techniques (cross-sectional imaging, percutaneous procedures, endoscopic retrograde cholangiopancreatography).

Obstructive Jaundice

Obstructive Jaundice

Introduction Neonatal cholestasis is defined as prolonged elevation of serum levels of conjugated bilirubin beyond the first 14 days of life. Neonatal hyperbilirubinaemia is usually physiologic, unconjugated, and self-limited. Only 2–15% of neonates remain jaundiced past 2 weeks of life, and just 0.2–0.4% have cholestatic jaundice from either intrahepatic cholestasis or structural abnormalities...

Chronic obstructive lung disease: perioperative management.

Inflammatory mediators play a major role in pulmonary and extra pulmonary manifestations of COPD. In the preoperative risk evaluation, composite scoring systems like ASA physical status are more efficacious than any single risk factor. Intraoperative ventilator graphics help in managing respiratory mechanics and reducing dynamic hyperinflation. Preoperative optimization of respiratory status an...

Perioperative management of obstructive sleep apnea patients

OSA affects 2 – 26% of the general population [1]. The perioperative management of patients with OSA begins with preoperative identification, after which plans are made to tailor specific intraoperative and postoperative care. The STOP or STOP Bang questionnaires are useful screening tests for OSA [2, 3]. Identification of patients at high risk may help to optimize the preoperative status and t...