Sedating agitated child ppt
Problem: A 43 year old male returns from the operating room following cholecystectomy.
The operation had been originally planned using the laparoscopic approach.
activation of hypothalmo-pituitary adrenal axis; 7 release of cortisol, epinephrine and norepinephrine; 8 central and peripheral sensitization .His pulse rate is 120 beats per minute, blood pressure 170/100, temperature 37.0 degrees Celcius and his pulse oximeter is reading an Sp O This patient is agitated: the most common cause of postoperative agitation is pain.Pain is a neurohormonal and emotional response to a noxious stimulus, in this case surgical injury.In patients, such as in this case, that undergo upper abdominal surgery, the splinting effect of pain results in impaired coughing and lung derecruitment and increased risk of pulmonary complications including nosocomial pneumonia.
One of the major roles of perioperative clinicians is to minimize patient suffering.
In addition, tissue trauma activates inflammation, and inflammation causes pain.