Preassessment tests for theatre Flashcards
what to ask on day of surgery
any chance of preg
any sickle cell disease in family
when to consider echo
if heart murmur and cardiac symptoms
or
signs and symptoms of heart failure
minor surgery
excising skin lesion
draining abscess
intermediate surgery
primary hernia repair
excising varicose veins
knee arthroscopy
tonsillectomy
major surgery
TAH endoscopic resection of prostate lumbar discectomy thyroidectomy joint replacement lung operations colonic resection neck dissection
ASA1
normal healthy patient
ASA 2
mild systemic disease
asthma
smoker
ASA 3
severe systemic disease
ASA 4
severe systemic disease that is a constant threat to life
tests to offer in minor surgery
mostly none
kidney function if Asa 3+ and risk of aki
ECG if ASA 3+ and no recent ecg
tests to offer in intermediate surgery
FBC asa 3+ if cvs or renal disease
clotting if asa 3+ and chronic liver disease
kidney if asa 2 and risk of aki. All asa 3+
ecg if asa 2 and cvs/renal/diabetes. All ASA 3+
tests to offer in major surgery
FBC - all
clotting if asa 3+ and chronic liver disease
kidney function - asa 1 if risk of aki, all asa 2+
ecg - asa 1 if no ecg in 12m, all asa 2+
What test done in everyone having major surgery
fbc
who gets ecg pre op
Asa 2+ major surgery (1 if no ecg in 12m)
Asa 3+ intermediate surgery (2 if renal/cvs/diabetes)
Asa 3+ consider if no ecg 12m
who gets clotting pre op
chronic liver disease
