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Ways to Evaluate the Patient before Surgery or Preoperative Assessment

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The definitive goals of preoperative medical evaluation are to decrease the patient’s surgical and anesthetic perioperative morbidity or mortality, and to return him to better functioning as soon as possible. It is basic to understand that “perioperative” risk is multifactorial and a component of the preoperative therapeutic state of the patient, the intrusiveness of the surgery and the kind of anesthetic administered. The most common ways of assessing a patient’s health status are:

General Health Assessment

The History

The history of the patient is the most imperative segment of the preoperative assessment. The history ought to incorporate a past and current history, a surgical history, a family history, or anything that has an impact on health (utilization of tobacco, liquor and other medications), a background of allergies, current and previous medication treatment, or reactions to drugs and any issues related with past anesthetics. In children, the history ought to incorporate birth history, focusing on risk factors, for example, prematurity at childbirth, perinatal complications and congenital chromosomal or anatomic malformations and history of ongoing diseases, especially upper and lower respiratory tract diseases.

Physical examination

The physical examination should be built on the data accumulated from the history. A well-focused preanesthesia physical examination incorporates an evaluation of the airway, lungs and heart, with documentation of physical signs. Also, if any other symptoms come up in the physical examination, then the doctor has to check for them first and treat them before proceeding with surgery.

Laboratory check up

It is commonly known that the clinical history and physical examination besides routine lab tests 

Drug history

It is always necessary to know the medication history of the patients. A medication history ought to incorporate details of all medications that a patient has taken before, along with details of current and discontinued meds (eg, antibiotics, corticosteroids) alongside details of any medication hypersensitivities or sensitivities.

Evaluating cardiovascular risk

All patients scheduled to undergo surgical procedure ought to have an evaluation of the cardiovascular system. The reason for this assessment is to help the patient and doctors gauge the advantages and dangers of the medical procedure and advance the planning of the surgery. Now and again, risk assessment will reveal undiagnosed problems or not well treated earlier conditions that require treatment are required

The hemogram, liver function test kidney function test and urine examination are routine laboratory examination done, However some additional tests may be done in depending on the clinical examination

Management Recommendations

The choice to continue with elective surgical procedure starts with an evaluation of risk. The clinician ought to evaluate the patient’s preoperative risk factors and the dangers related with the arranged medical procedure. Given an acute surgical emergency, preoperative assessment may be restricted to basic tests, for example, a fast evaluation of cardiovascular vital signs, volume status, hematocrit, electrolytes, renal function, urine test and ECG. Just the most fundamental tests and mediations are appropriate until the point when the acute surgical emergency is resolved. An increasingly intensive assessment can be led after the medical procedure. The choice to experience further testing relies on the collaboration of the patient’s risk factors, surgery-specific risk and functional capacity.

 

Your health care provider needs to be considerate in terms of assessing the health risks before performing a surgical procedure. This assessment is usually scheduled 2-4 weeks before your date of surgery. If you are looking forward to undergo a surgical procedure or know someone who is, then make sure to get in touch with our doctors at Lifeline Laboratory – We are the finest health experts who treat their patients with care and experience to help look forward to a healthy future.

 

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