Transcript Pre-operative information for patients having open shoulder and

Pre-operative information for
patients having open shoulder
surgery
Mr. Sunil Sharma FRCS (Tr & Orth)
www.fifeshouldersurgery.co.uk
Procedures
• Shoulder replacement
• Fracture fixation
• Shoulder arthrodesis / scapulo-thoracic fusion
• Muscle transfers
• Weaver-Dunn procedure (AC joint stabilisation)
• Laterjet procedure / open shoulder stabilisation for recurrent shoulder
dislocation
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Risks & Potential
complications
• Shoulder Stiffness
• Failure of surgery
• Infection
• Anaesthetic complications
• Damage to nerves / blood vessels around shoulder
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Anaesthesia
• General Anaesthesia
• Regional Anaesthesia (nerve block)
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Pre-assessment
clinic
• Past history + physical examination
• FBC
• ECG - if more than 40 years
• Other tests may be required depending on medical
condition
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Insurance information
(for private patients)
• Check insurance requirements
• Check if referral needed from GP
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Days before surgery
• Wash the shoulder
• Do not shave the area
• Protect the skin
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Day before Surgery
• Phone up hospital and confirm time of
admission
• Nothing to eat or drink after midnight
• Put up a note as a reminder
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Day of Surgery
• Your surgeon with mark your limb and discuss the
risks and benefits of the surgical procedure
• Your anaesthetist with discuss the anaesthetic and
the post-operative pain control plan with you
• If you have not already signed your consent form
you will at this stage
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Recovery
• You will wake up drowsy but should not have much pain
• However the nerve block / local anaesthetic will wear off
several hours later and the shoulder can get painful
• You will be given painkillers (Codeine 30 mg +
Paracetamol 500 mg along with Voltarol 50 mg) before the
nerve block wears off
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Recovery
• You will have blood tests (FBC, U&Es) + X-ray, if
required
• Your physiotherapist will discuss your rehabilitation
protocol
• Most patients spend 2 to 3 days in hospital
• You will need a family member / friend to bring you home
from hospital
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At home after
surgery
• Change dressing
• Follow rehabilitation protocol
• Continue wearing your sling / brace
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Follow-up
• Follow-up in clinic will be arranged for 2
weeks after surgery for a wound check /
removal of sutures
• Physiotherapy if required will be arranged
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Call your doctor if..
• Excess pain or swelling in shoulder
• Fever or redness
• Other problems or complications
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