Presentation on theme: "Preoperative evaluation of the patient"— Presentation transcript:
1 Preoperative evaluation of the patient Janusz Andres
2 Questions Describe anesthetic plan ASA physical status scale Preoperative evaluationRoutine preoperative laboratory evaluationPhysical examinationWhat is informed consent?What kind of documentation is required?
3 Questions (2) Describe intraoperative anesthesia record What is PACU? Why the preoperative and postoperative visits is so important?Quality of documentationWhat are four elements that must be proven by the plaintiff?
4 Main purposes Medical history To choose the anesthestic and care plan To obtain informed consentTo educate patientCost-efficiency?
6 Medical problems (2) Pacemakers or implantable defibrillators Peripheral motor neuropathyPregnancyPulmonary tuberculosisRenal insufficiency
7 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?
8 Main problems Cardiovascular disease Respiratory and airway problems Hepatic and gastrointestinal diseaseBleeding problemsRenal diseaseEndocrine disturbancesNeurologic disease
9 Physical examination Arterial blood pressure Chest auscultation Movement and neurological disordersExaminations of legs