Whoever thinks a faultless piece to see, thinks what ne'er was, nor is, nor e'er shall be. A. Poe, An Assay on Criticism

LUIGI S. BRANDI
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GENERAL ANESTHESIA


REGIONAL ANESTHESIA


LOCAL ANESTHESIA


LABOR ANALGESIA


SURGERY and PAIN


MALIGNANT HYPERTHERMIA


ANESTHESIA and HERBS


ANESTHESIA SIDE EFFECTS


REFERENCED in:
PAGINEMEDICHE

DICA 33 MOTORE DI RICERCA



POSSUM SURGICAL RISK

(Physiologic and Operative Severity Score for the enUmeration of Mortality and Morbidity) 
POSSUM: based on G.P.Copeland, D.Jones & M.Walters Br J Surg (1991) 78:356-360
P-POSSUM: based on M.S.Whiteley et al Br J Surg (1996) 83:812-815 

 
This calculator allows an easy calculation of scores to evaluate mortality and morbidity after surgical procedures. Its only purpose is the calculation of the scores, irrespectively of any judgement on their relevance or usefulness.
The calculation of a risk assigned to a measured score is an epidemiologic tool, and never should be used as a single patient prevision tool. Moreover, it should be underlined that in different patient populations and health system realities, these scores could not work.


Please refer to : Lemeshow S, Le Gall JR. Modeling the severity of illness of ICU patients. A systems update. JAMA. 1994;272:1049-55

Age

Urea

Hb (g/dL)

Potassium (mEql/L)

Glasgow (go)

Pulse (beats/min)

WBC. (mm3)

Sodium (mEql/L)

Respiratory

Cardiac Signs

ECG

Systolic Blood Pressure

Physiologic Score

Operative Severity (go)

Peritoneal Soiling

Multiple Procedures

Cancer

Total Blood Loss

Mode of Surgery

Operative Score

Morbidity

 Mortality


  

Complications: Definition

Wound haemorrhage
Deep haemorrhage.
Chest infection.
Wound infection.
Urinary infection
Deep infection
Septicaemia
Pyrexia of unknown origin
Wound dehiscence
Deep venous thrombosis and pulmonary embolus
Cardiac failure
Impaired renal function
Hypotension
Respiratory failure
Anastomotic leak

Type of Surgery

Moderate surgery : cholecystectomy, appendicectomy, mastectomy, transurethral resection of prostate
Major surgery : any laparotomy , bowel resection, cholecystectomy with choledochotomy, peripheral vascular procedure or major amputation
Major surgery + : any aortic procedure, abdominoperineal resection, pancreatic or liver resection, oesophagogastrectomy.

Glasgow Coma Scale

Eyes opening
Spontaeous
To speech
To Pain
Absent
Verbal
Converses/ Oriented
Converses/ Disoriented
Inappropriate
Incomprehensible
Absent
Motor Activity
Obeys
Localizes pain
Withdraws (flessione)
Decorticate (flexion) rigidity
Decerebrate (extension) rigidity
Absent

Glasgow =

 

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Last Update 12-08-2008

on line since January. 22, 2003


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