Pre-operative assessment and preparation Flashcards
Trauma of surgery ? (4)
- Stress response
- Fluid shifts
- Blood loss
- Cardiovascular, respiratory, renal and metabolic stress
what does a general anaesthetic do?
suppress your neurological, cardiac and respiratory system
considerations for anaesthesia? (5)
- Known co-morbidities
- Unknown pathologies
- Nature of surgery
- Anaesthetic techniques
- Post-op care
Anaesthetist role pre-op (6)
Assess Identify high risk Optimise (co-morbidities) Minimise risk Inform and support patients decisions Consent
when won’t you give a spinal anaesthetic to someone?
those with aortic stenosis
- suppress cardiac function
features that fall under the ‘ ability to withstand stress’
- Exercise tolerance
- Reason for limitation
- Cardio-respiratory disease
Features you want to find out in history? (2)
give some specific anaesthetic problems?
Drugs and allergies
Previous surgery and anaesthesia
Potential anaesthetic problems Airway Spine Reflux Obesity Rarities / Family history Malignant hyperpyrexia Cholinesterase deficiency
Rarities / Family history - some conditions to look out for?
Malignant hyperpyrexia
Cholinesterase deficiency
NICE guidelines for investigations (3)
ASA grade
Surgery grade
Co-morbidities
ASA grading is used to?
scores up to?
identify how fit and healthy a patient is/how sick they are
ASA6
ASA4 means?
life threatening disease
ASA3 means?
Severe systemic disturbance
ASA5 means?
Moribund patient
ASA6 means?
organ retrieval
ASA2 means?
Mild to moderate systemic disturbance
