How do you deal with small bowel obstruction?
We’ve now had a number of movies on the small bowel, from the anatomy and physiology of the small gut proper via how we are able to diagnose small bowel obstruction and use labs and imaging in SBO successfully.
You at the moment are prepared to grasp remedy.
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MUST HAVE SURGERY BOOKS
Sabiston’s Textbook of Surgical procedure https://citizensurgeon.co/Sabiston
Moore’s Clinically Oriented Anatomy https://citizensurgeon.co/Moore
Netter’s Anatomical Atlas https://citizensurgeon.co/Netter
Schwartz Rules of Surgical procedure https://citizensurgeon.co/Schwartz
Fischer’s Mastery of Surgical procedure https://citizensurgeon.co/Mastery
Zollinger’s Atlas of Surgical Operations https://citizensurgeon.co/Zollinger
Prime Knife (MUST MUST HAVE) https://citizensurgeon.co/topknife
On this video I begin with a scientific case and take you proper via how one can method sufferers with a bowel obstruction and determine whether or not surgical procedure is indicated or a non operative method is feasible.
Therapy of small bowel obstruction follows a number of rules.
These rules embody…
Quantity resuscitation
Enteral decompression
Deciding on surgical procedure versus non-operative administration
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On this video I’ll take you thru these completely different rules of treating small bowel obstruction.
I’ll train out when speedy operation is required and when a non-operative method is indicated.
I’ll present you the way we do serial monitoring and what’s necessary to be careful for in your each day historical past and bodily examination.
We’ll discuss procalcitonin and the way this may be useful in understanding bowel compromise in sufferers presenting with small bowel obstruction.
As well as I’ll share with you some nice literature and a scoring system that may be utilized in these sufferers to assist in giving you a bit extra resolution making energy.
Small bowel obstruction is a standard analysis in surgical procedure and it is necessary you have got a scientific method to those sufferers.
We’ll cowl just a few scientific circumstances as properly and on the backside of the outline I am going to put the solutions so you’ll be able to test your self!
Take a look at these AMAZING timestamps and quick ahead if you might want to:
Begin 00:00
What do you do first in treating small bowel obstruction? 02:13
Therapy rules in small bowel obstruction 06:06
Indications for speedy operation in small bowel obstruction 09:11
What’s non-operative administration of small bowel obstruction 17:09
What’s procalcitonin and the way is it useful in SBO? 21:52
Can we predict who will want surgical procedure in SBO? 26:18
What outcomes can we anticipate in small bowel obstruction? 28:01
REFERENCES
Administration SBO UptoDate https://citizensurgeon.co/uptodateSBO1
Procalcitonin in SBO – Cosse – https://citizensurgeon.co/procalcitoninSBO
Danger of recurrence adhesive SBO – Behman – https://citizensurgeon.co/AdhesiveSBO
Clinicoradiological rating for SBO – Schwenter – https://citizensurgeon.co/schwenter
SOME FAVORITE READS
The Miracle Morning by Hal Elrod – http://citizensurgeon.co/MiracleMorning
Atomic Habits by James Clear – http://citizensurgeon.co/AtomicHabits
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WHO AM I?
I am Dr. Erik Pearson, FACS and I’m a board licensed pediatric surgeon residing in Las Vegas. I make surgical training movies on all matters usually surgical procedure in addition to talks on way of life design as a surgeon, e book evaluations, and learning successfully. I additionally write a weekly publication known as the Saturday Six the place I determine Six completely different discoveries of the week. You will get the weekly publication by signing as much as the CITIZENSURGEON Neighborhood!
DISCLAIMER
Whereas my purpose is to assist educate you for the ward, the surgical ICU, the working room and your exams bear in mind these movies aren’t a alternative in your studying, your medical faculty and residency preparation and most necessary your personal resolution making. When you’ve got medical questions positively seek the advice of a medical skilled. Good luck and revel in!
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