Caesarean Section & Hysterectomy Procedures PDF

Caesarian Section (under G.A.) 1-Full preparation is needed rapidly 2- Adequate number of compatible blood unites is needed 3-Proper size ETT+ largest to smallest sizes, two laryngoscopes are needed 4-pre-oxygenation by 100% FlO2 for three minutes at least to wish out nitrogen from lungs to toleranc...

Caesarian Section (under G.A.) 1-Full preparation is needed rapidly 2- Adequate number of compatible blood unites is needed 3-Proper size ETT+ largest to smallest sizes, two laryngoscopes are needed 4-pre-oxygenation by 100% FlO2 for three minutes at least to wish out nitrogen from lungs to tolerance hypoxemia during induction. 5-induction is done in lateral tilted to avoid sudden hypotension caused by compression of inferior vena cava and aorta by gravid uterus (hypotensive syndrome) (the cause is by supine position + relaxed abdominal wall by relaxant. 7- always crush, s inductions used to avoid inhalation of gastric content which lead to chemical pneumonia then bacterial pneumonia an end with respiratory failure by using (cricoid pressure) which is called Mandelson's syndrome) into ordinary position. 8-i.v. narcotics could be used. 9-Drugs that cause myometrium contraction might be used like Ergot or oxytocin's 10-Compatible might be given if needed. 11-Extubation is done with full recovery of consciousness and return of protective reflexes in order to avoid inhalational pneumoniaGynecology Dilatation of Cervix & Curettage (D. & C) 1-Short surgery 2-Should be done under good analgesia+ sedation or GA with or without ETT 3-Position during surgery (lithotomy) 4-May be impedance to respiration which lead to hypoxia and respiratory failure. There are three types of C-sections: elective, unplanned, and emergency. Elective C- sections are scheduled in advance due to concerns about the safety of vaginal delivery. In contrast, emergency C-sections are performed when complications arise during labour 2-Hysterectomy (abdominal, vaginal) 1-Usually prolong surgery 2-Needs good relaxation of abdominal wall in case of abdominal hysterectomy (Extra peritoneal surgery). 3-No need for N/G tube like ordinary laparotomy 4-Compatible blood unites might be needed 5-Other medical illnesses should be diagnosed, treated and controlled well (Anemia, Diabetes, or chronic hypertensive diseases and control Thyrotoxicosis 6-In case of vaginal hysterectomy is an extra-peritoneal operation Surgery in lithotomy position while abdominal hysterectomy is an intra-abdominal and extra peritoneal surgery in spine position