Question

Paralytic ileus is a possible postoperative complication. To check for it, which of the following should be done?

(a) Monitor renal function

(b) Auscultate for bowel sounds every 4 hours

(c) Administer antibiotics

(d) Observe and monitor patient heart rate

I had been asked this question in an interview.

Question is from Pre and Post Operative Care in portion Anaesthesia of Clinical Science

Answer 1

The correct answer is (b) Auscultate for bowel sounds every 4 hours

Best explanation: Paralytic ileus is an obstruction of the intestine due to paralysis of the intestinal muscles. The paralysis does not need to be complete to cause ileus, but the intestinal muscles must be so inactive that it prevents the passage of food and leads to a functional blockage of the intestine. It inhibits propulsive bowel movement and hence frequently needs to be assessed.