Anaesthetic preop assessment Flashcards
1
Q
considerations
A
known co morbidities unknown pathologies nature of surgery anaesthetic techniques post op care
2
Q
Preop care
A
Assess, Identify high risk Optimise Minimise risk inform and support patients decisions consent Reduces anxiety, delays, cancellations
3
Q
Potential anaesthetic problems
A
Airway spine reflux obesity rarities/ familiy history
4
Q
Investigations
A
detect unknown conditions diagnose suspected conditions severity of known disease establish baseline detecting complications assessing risk guiding management
5
Q
ASA grading
A
ASA1 otherwise healthy patient ASA2 mild to moderate systemic disturbance ASA3 severe systemic disturbance ASA4 life threatening disease ASA 5 Moribund patient ASA 6 organ retrieval
6
Q
Risk assessment tools
A
GUPTA perioperative cardiac risk geriatric sensitive perioperative cardiac risk index surgical outcome risk tool nottingham hip gracture score STOP-BANG questionnaire
7
Q
Cardiac risk index
A
high risk surgery ishaemic heart disease CHF CVD DM RF
8
Q
Exercise tolerance
A
METs (15percent reduction in mortality risk per MET
9
Q
Cardiopulmonary
A
exercise testing
10
Q
Optimising
A
medical control
11
Q
high risk emergency patient
A
informed consent anaesthetic plan invasive monitoring senior management post operative critical care
12
Q
pre op medication
A
most continue normal: inhalers anti anginals anti-epileptics exceptions: Anti diabetic medication anticoagulants
13
Q
Pre op
A
history
examination
investigations
