Triage, Systemic Disease, and Optimisation

Question 1

Purpose of Triage

Answer 1

Deciding the urgency of the surgery

Question 2

Purpose of ASA grading

Answer 2

To predict the patients mortality risk post op based on baseline preop

Question 3

Purpose of Optimisation

Answer 3

Balance between proceeding with surgery and patients mortality risk post surgery

Question 4

The triage score: urgency of surgery

Answer 4

RED: Absolute emergency—requires theatre immediately 
ORANGE: Surgery within 2 hours
YELLOW: Surgery within 6 hours
GREEN: Surgery within 24 hours
BLUE: Elective surgery

Question 5

The ASA grading: baseline status

Answer 5

A normal healthy patient
A patient with mild systemic disease and no functional limitations
A patient with moderate to severe systemic disease that results in some functional limitation, but not incapacitating
A patient with severe systemic disease that is a constant threat to life and incapacitating
A moribund patient that is not expected to live for more than 24 hours with or without the surgery
A brain-dead patient whose organs are being harvested

Question 6

Major comorbidities in anaesthesia

Answer 6

CVS
Hypertension
Ischaemic Heart Disease
Cardiac Failure
Valvular Heart Disease

RESPIRATORY
Asthma
COPD
Infectious diseases

RENAL

ENDOCRINE:
DM
Thyroid disease
obesity