Pre Op Assessment And Medical Problems In Surgical Patients

Question 0

What are high risk diseases for patient that needs an operation?

Answer 0

Ischaemic heart disease
Congestive heart failure
Arterial hypertension
Chronic respiratory disease
Diabetes Mellitus
Cardiac arrhythmia's
Anaemia

Question 1

What’s ASA status?

Answer 1

A system for assessing the fitness of cases before surgery. Five categories (sixth added later):

1. Healthy patient
2. Mild systemic disease-no fictional limitations
3. Severe systemic disease-definite functional limitation
4. Severe systemic disease that’s a constant threat to life
5. Moribund patient not expected to survive 24 hours with or without surgery

Question 2

What are the aims of management?

Answer 2

To diagnose the presence of pre-existing disease and make an accurate assessment of the degree of the problem. To ensure the patients medical condition is optimised before surgery. To consider the potential for drug interactions.