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  1. The aim of the pre-‐operative consult is to minimize perioperative mortality & morbidity and prevent last minute unplanned cancellation through proper assessment and decision-‐making. To do this we assess with a history, examination and investigations (Hx/Ex/Ix)

  2. Anemia lmmunosu pp,essed. Bleeding tendencies Pregnancy Cancer Sickle Cell Dis./ Trail Chemotherapy Recent Steroids OehydtallOn Tranfuslon History. Hemophilia. Problem List/ Diagnoses. . Urinalysis. Other. 2. Planned Anesthesia I Special Monitors.

  3. To perform a structured preoperative anaesthetic assessment of a patient prior to surgery and recognise when further assessment/optimisation is required. To explain options and risks of routine anaesthesia to patients, in a way they understand, and obtain their consent for anaesthesia.

  4. This document was created as a tool to be used for the preoperative evaluation of the surgical patient based on the best evidence available as of 2016; it is not intended to supersede the judgment and recommendations of the individual patient’s physicians. For more information please contact: Advocate BroMenn Medical Center.

  5. RELATIONSHIP. 2. PRE-ANESTHETIC EVALUATION. ALLERGIES/SENSITIVITIES: NKDA ANTIBIOTICS NARCOTICS OTHER (food, Iodine, Tape, Etc.) List: ________________________________________________________________________________________________________________________ ...

  6. 1 Ιουλ 2021 · Anesthesia Pre-Operative Questionnaire. Previous surgery/anesthesia? List what & when ______________________________________________________ Have you, or a blood relative, had any problems with anesthesia, including: nausea, weakness, difficulty breathing or high fever? If yes, explain: ...

  7. Preparing a patient for anaesthesia requires an understanding of the patient’s pre-operative status, the nature of the surgery and the anaesthetic techniques required for surgery, as well as the risks a particular patient may face during this time.

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