Postoperative Problems

Delayed Discharge or Unexpected Hospital Admission The overall rate of unanticipated hospital admission after ambulatory surgery ranges from 0.15 to 2.5 4,51-55 The rate may vary considerably, depending on what types of procedures are performed at the facility, how patients are selected for outpatient surgery, patient characteristics such as age, and whether the facility is hospital-based or independent. Many ASCs use unexpected hospital admission after ambulatory surgery as a quality...

Info

Agents Eptifibatide Tirofiban Abciximab Competitive inhibition of GPIIb IIIa receptors to prevent platelet aggregation Rapid onset of action Short half-lives Often combined with aspirin and or heparin Literature (mainly from cardiac surgery) shows increased hemorrhagic risk if surgery undertaken < 12 hr after discontinuance of abciximab Individual variability in recovery time of platelet function Discontinue at least 12 hr in advance Transfuse platelets only if needed to correct clinically...