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Download Preoperative evaluation of the patient
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Preoperative evaluation of the patient Janusz Andres Questions • • • • • • • Describe anesthetic plan ASA physical status scale Preoperative evaluation Routine preoperative laboratory evaluation Physical examination What is informed consent? What kind of documentation is required? Questions (2) • Describe intraoperative anesthesia record • What is PACU? • Why the preoperative and postoperative visits is so important? • Quality of documentation • What are four elements that must be proven by the plaintiff? Main purposes • Medical history • To choose the anesthestic and care plan • To obtain informed consent • To educate patient • Cost-efficiency? Medical problems • • • • • • • Difficult airway Asthma Insulin-dependent diabetes mellitus Drug abuse Heart disease Monoamine oxidase inhibitors Pacemakers Medical problems (2) • Pacemakers or implantable defibrillators • Peripheral motor neuropathy • Pregnancy • Pulmonary tuberculosis • Renal insufficiency Often asked questions • • • • • • • When did you last have anesthesia? Did you have problems with anesthesia? Do you have allergies? Did you have blood test last 6 months? Did you have x-ray in the last 2 month? Do you take any medications? Did you have drinking problems? Main problems • • • • • • • Cardiovascular disease Respiratory and airway problems Hepatic and gastrointestinal disease Bleeding problems Renal disease Endocrine disturbances Neurologic disease Physical examination • Arterial blood pressure • Chest auscultation • Movement and neurological disorders • Examinations of legs
