Brainscape_PreOp_Flashcards
What is the purpose of a pre-operative assessment?
To identify co-morbidities that may lead to complications during the anaesthetic, surgical, or post-operative period.
When do patients typically attend a pre-operative assessment before elective surgery?
2-4 weeks before the surgery date.
What specific topics should be included in the pre-operative history?
Anaesthetic and surgery-specific topics, in addition to standard history-taking.
What should be confirmed in the history of the presenting complaint?
Why the patient attended, the scheduled procedure, and the side of the procedure (if applicable).
Why is exercise tolerance important in the pre-operative assessment?
It helps predict cardiovascular fitness and the risk of post-operative complications, especially in major surgery.
What respiratory conditions should be screened for during the pre-operative history?
Chronic cough, obstructive sleep apnoea, and the ability to lie flat for prolonged periods.
Why is gastro-oesophageal reflux (GORD) important to assess?
Aspiration of gastric contents can be fatal and may alter the anaesthetic technique.
What is mandatory for females of reproductive age on the day of surgery?
A urinary pregnancy test.
What are the two main components of a pre-operative examination?
General examination and airway examination.
What scoring system is commonly used in airway assessment?
Mallampati score.
What is the purpose of a full blood count (FBC) pre-operatively?
To assess for anaemia or thrombocytopenia, which may require correction before surgery.
Why are Urea & Electrolytes (U&Es) checked pre-operatively?
To assess baseline renal function and guide fluid management and drug choices.
When is an ECG typically performed pre-operatively?
In individuals with a history of cardiovascular disease or undergoing major surgery.
What does an echocardiogram (ECHO) assess in the pre-operative setting?
It helps risk stratify and tailor intra-operative care by assessing heart function.
Why might spirometry be performed pre-operatively?
To assess baseline lung function and predict post-operative pulmonary complications in patients with chronic lung conditions.
