The pre-operative assessment offers doctors a chance to identify co-morbidities that may lead to complications during the anesthetic, surgical, and post-surgery period. If you are undergoing elective surgery, the surgeon will require you to go for pre-operative assessment 2 or 4 weeks before surgery.
The major components include:
The goal of pre-operative assessment is to identify cardiac conditions and other diseases that might put the patient at high risk of complications before, during, and after surgery.
The doctor will explore a brief history of why you first attended surgery and what procedures you have been scheduled for.
The doctor will ask you or your confidant of your full medical history. He or she will specifically ask about:
The other specific questions the doctor can ask are about your pregnancy for females in their reproductive age and sickle cell anemia especially people of African or Afro-Caribbean descent.
The doctor will ask if the patient has been in a previous surgical operation, why, and when they had it.
Your doctor will require your past anesthetic history. Have you had anesthesia before? If so, did you experience any issues? Did you experience vomiting or nausea as a result of anesthesia?
Your specialist might ask you if any of your family members has malignant hyperpyrexia. Malignant hyperpyrexia is a condition whereby, your body undergoes muscle rigidity and temperature rises. This condition can pose a risk during surgery.
Before proceeding with surgery, your doctor will ask about your drinking and smoking history. He or she might ask about your tolerance to exercise.
Your specialist will require your full drug history since you will need to stop using certain drugs before surgery.
The other components of the pre-op evaluation are:
During a physical exam, your doctor will focus on your overall fitness and signs of systemic diseases. He or she shall consider the following:
If relevant the specialist will also examine the area of operation. The anesthetist will also perform an airway exam before the anesthesia.
The nature of the investigation depends on age, co-morbidities, and nature of the pre-op surgery procedure. Some of the investigations include:
Your specialist can carry different blood tests include:
Some of the tests that your specialist can perform before surgery are:
If your specialist detects signs of chronic lung condition, he or she might use spirometry to assess the baseline of the current condition and predict postoperative complications.
Your specialist might also carry out other tests including:
An anesthetist carries out the examination. He or she looks at the face for any facial abnormalities that might cause difficulties during airway insertion.
The specialist will ask you to open your mouth to assess:
The last step involves assessing the neck. He or she might ask you to flex or extend your neck. The anesthetist can also ask you to maximally extend your neck and measure the distance between the thyroid cartilage and your chin.
Do you need primary health care in Germantown, MD? Dr. Lakhvinder Wadha is a doctor at Germantown Primary Health care that receives patients for minor and comprehensive treatments such a surgery.