Documenting a vascular round
Operation notes, ward notes with ABIs and pulses, discharge summaries and graft surveillance letters.
Day two after a fem-pop bypass
Day two after left above-knee fem-pop bypass, reversed great saphenous vein.
Graft pulse strong, palpable DP, foot warm. ABI 0.94 today, 0.46 before surgery.
Groin wound dry. Some bruising along the harvest wound, no collection.
Aspirin 100 and atorvastatin 80 continue. Mobilise with physio.
Graft duplex at six weeks. Ex-smoker, stopped at diagnosis, keep reinforcing it. Home Thursday.
Progress
Day 2 post L above-knee fem-pop bypass (reversed GSV).
Perfusion
Strong graft pulse. Palpable DP. Foot warm. ABI 0.94 (0.46 pre-op).
Wounds
Groin dry. Bruising along the vein harvest wound, no collection.
Plan
- Aspirin 100 mg and atorvastatin 80 mg
- Mobilise with physiotherapy
- Graft duplex at 6 weeks
- Smoking cessation reinforced
- Discharge Thursday
The admission and the surveillance after it
- Operation note
- Inflow and outflow vessels, the conduit, anastomoses, completion imaging and heparin given.
- Discharge summary
- Pre- and post-operative ABI, the antiplatelet and statin, wound care and the duplex date.
- Surveillance letters
- The duplex result to the GP each time, and a reminder letter if a scan is missed.
