Clinical Case Database / Category: Patient Management
Cavin Gray MBChB, FRCA
Foundation Years Journal, volume 4, issue 2, p.60 (123Doc Education, London, February 2010)
Worldwide it is estimated that approximately 200 to 250 million surgical procedures are performed each year. Many of these patients will suffer from one or more post-operative complications. Definitions of what constitutes a post-operative complication vary but the term generally suggests an adverse occurrence affecting a patient's well-being, which may at the very least delay recovery and in the worst cases result in lasting disability or death. Because of the difficulties in both defining post-operative complications and in gathering data, it is difficult to provide an accurate incidence of their occurrence but some studies have suggested figures as high as 30% or more. Post-operative complications may arise as a direct consequence of the surgical procedure or anaesthesia, or be related to underlying medical conditions and while not all will be serious or life-threatening even those which are mild and self-limiting may, nonetheless, be distressing to patients and since they may require treatment and prolong hospital stay, they may have significant cost implications.
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Cavin Gray MBChB, FRCA
Sheffield Teaching Hospitals NHS Foundation Trust
Sheffield S5 7AU
1. BTS Guidelines for the Management of Suspected Acute Pulmonary Embolism (2003). The British Thoracic Society Standards of Care Committee, Pulmonary Embolism Guideline Development Group. Thorax, 58:470â€“484.
2. Moller JT, Cluitmans P, Rasmussen LS, et al. (1998) Long-term post-operative cognitive dysfunction in the elderly: ISPOCDI study. Lancet, 351:857â€“861.
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About the Clinical Cases Database
The Foundation Years Clinical Cases Database is a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.
The database is fully searchable, or can be browsed by medical specialty. Abstracts can be read free of charge, however a subscription is required in order to read the complete cases.