Dr.Sunil’s Surgery-on Call Day-To-Day Surgical Care Surgery is a best guide for Surgery residents as well surgical interns during ward duties.During a break for tea in the OR one day, one of my senior
colleagues, Peter Block, suggested “Why don’t you write a bookand put all that you teach into it”. That is how the writing of this handbook was initiated.
Usually crystalloids suffice for routine surgical procedures,pre-operatively, intra-operatively and post-operatively. In most
surgical cases where the patient is haemodynamically stable and post-operative fluid overloading is not a significant problem,isotonic crystalloids such as Ringer Lactate (RL) / Normal Saline (NS) are sufficient and cost effective.
Dextran is nephrotoxic in shock, and may cause allergic reactions and bleeding disorders (anaphylactoid). Dextran causes
dose related reduction in platelet aggre gation and adhesiveness by virtue of its coagulopathy.
it is frequently used by vascular and plastic surgeons to assist in maintaining the patency of microvascular or problematic vascular anastomoses.
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