Anaesthetics- Preoperative Assessment

Question 1

What do you need to know before carrying out an operation?

Answer 1

Known comorbidities 
Unknown comorbidities 
Stress tolerance 
Drugs and allergies 
Previous operations and analgesia's

Question 2

What is the function of the ASA grading?

Answer 2

To determine if a person is healthy enough for surgery

Question 3

What is grade 1 on ASA?

Answer 3

Otherwise healthy

Question 4

What is grade 2 on ASA?

Answer 4

Mild to moderate systemic disturbance

Question 5

What is grade 3 on ASA?

Answer 5

Severe systemic disturbance

Question 6

What is grade 4 on ASA?

Answer 6

Life threatening systemic disturbance

Question 7

What is grade 5 on ASA?

Answer 7

Moribund patient

Question 8

What is grade 6 on ASA?

Answer 8

Organ retrieval

Question 9

What drugs should be stopped/ reviewed before surgery?

Answer 9

Diabetes mellitus medication

Anticoagulants

Question 10

Which drugs are okay to continue before surgery?

Answer 10

Anti-epileptics
Inhalers
Anti-anginal medication

Question 11

What is the function of the exercise tolerance test?

Answer 11

The amount of exercise a patient can do without getting breathless

Question 12

How is exercise tolerance measured?

Answer 12

In MET’s

Question 13

What is the reduction in mortality per MET?

Answer 13

15% reduction in mortality

Question 14

What does MET 2 indicate?

Answer 14

They can walk round the house

Question 15

What does MET 3 indicate?

Answer 15

They can do light housework

Question 16

What does MET 4 indicate?

Answer 16

Walk 100-200m on flat

Question 17

What does MET 5 indicate?

Answer 17

Walk up a flight of stairs or up a hill

Question 18

What does MET 6 indicate?

Answer 18

Walk on the flat at a brisk pace

Question 19

What does MET 7 indicate?

Answer 19

Play golf, mountain walk, dance, or any form of exercise

Question 20

What does MET 8 indicate?

Answer 20

Run a short distance

Question 21

What does MET 9 indicate?

Answer 21

Strenuous exercise or heavy lifting

Question 22

What do you need for a high risk emergency patient?

Answer 22

• Informed consent
• Anaesthetic plan
• Invasive monitoring
• Senior management
• Post operative critical care