Surgical Control
KEIT DAY HOSPITAL
Intraoperative surgical emergency management protocol
Official Manual of Clinical, Care and Organizational Protocols
| Document Code | KEIT-SOP-16 | Version | 2.0 |
|---|---|---|---|
| Revision | 02 | Status | Official |
| Issue Date | 28/03/2026 | Next Review | 28/03/2027 |
| Prepared by | Medical Directorate / Quality | Approved by | |
| Signature and Date | Distribution | Controlled - Internal Use |
Purpose of the document. To officially define the scope, responsibilities, operating procedure, KEIT standards, records and protocol review criteria.
1. Document Control Information
| Application | All clinical, nursing, technical and organizational personnel involved in the described process. |
|---|---|
| Archiving | KEIT internal document management system and controlled copy in the relevant areas. |
| Review | At least annually or earlier in the event of regulatory, organizational or technological updates. |
2. Scope of Application
Applicable to all operating rooms and every surgical procedure performed at the facility.
3. Responsibilities
- Responsible surgeon: technical leadership of the surgical emergency.
- Anesthesiologist: hemodynamic, ventilatory and resuscitative support.
- Scrub nurse and operating room team: management of materials, devices and documentation.
4. Operating Procedure
- Recognize the emergency and suspend all non-essential activities.
- Stabilize the patient through a simultaneous surgical and anesthetic approach.
- Apply the specific algorithm for massive hemorrhage, vascular injury, organ injury, device failure or any other intraoperative complication.
- Immediately request additional support, dedicated equipment or specialist consultation when required.
- Assess the need to change the surgical strategy, perform reoperation, transfer the patient or admit the patient to a higher-acuity level of care.
- Once the patient has been stabilized, inform the Clinical Directorate and the patient’s family in a documented manner, in accordance with the internal procedure.
5. KEIT Operational Standards
- The operating suite maintains immediate availability of anesthetic and postoperative resuscitation support.
- Major emergencies are reviewed through multidisciplinary audit.
6. Records and Documentation
- Detailed operative report.
- Critical incident report.
- Traceability of the devices and materials used.
7. Review and Updates
Review after every significant event and at least annually for training purposes.
Implementation Note
This document is an internal operational draft. Before final adoption, review by the Medical Directorate, Clinical Directorate, Legal Advisor and the relevant department managers is recommended.
This document is an internal operational draft. Before final adoption, review by the Medical Directorate, Clinical Directorate, Legal Advisor and the relevant department managers is recommended.
8. Related Attachments and Forms
- Operational checklists, recording forms, audit sheets and maintenance registers applicable to this protocol.
- Any department-specific or equipment-specific technical attachments are referenced in the relevant local operating instructions.
9. Final Approval
| Position | Name and Signature | Date |
|---|---|---|
| Medical Directorate |
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