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Pre-operative assessments provide an opportunity to identify co-morbidities that could lead to complications that may occur during anaesthesia, surgery, or post-surgery care. A pre-operative assessment treatment in Hebbal, Bangalore is generally scheduled between two and four days prior to the surgery date for patients undergoing surgery for elective procedures.
An overview of the preoperative period
Anaesthesia and surgery-specific topics are included in the preoperative history in the same manner as normal history taking.
Presenting the Complaint's History
A brief description of the patient's first visit and the procedure they have been scheduled for. It is also important to confirm the side on which the procedure will be performed
The history of drugs
It is necessary to obtain a complete drug history, since some medications may need to be stopped or altered prior to surgery. It is pertinent to ask about any allergies you may have, including drug-related allergies
Look closely for any signs of cardiovascular disease, respiratory disease, or abdominal disease during a complete general examination. An anaesthetist will also perform an evaluation, an assessment of the airway, and prior to any surgery.
As part of the application process, a detailed medical history is required, including the following specifically
In addition to being an indication of cardiovascular fitness, exercise tolerance can also be used to assist in predicting the severity of post-operative complications and the amount of post-operative care needed in patients undergoing major surgery. Screening questions are designed to uncover undiagnosed diseases in the population and prompt further investigation, such as exertional chest pain, syncopal episodes, or orthopnea, for example.
There is no doubt that adequate oxygenation and ventilation are crucial to reducing the risk of acute ischaemic events in the perioperative period. A chronic cough or the inability to lie flat for a prolonged period of time may prevent spinal anesthesia from being appropriate for the patient. You may also want to screen the patient for obstructive sleep apnea, if the patient is at risk for it.
During the preoperative examination, two distinct examinations are performed; the general examination (in order to determine whether or not there is any undiagnosed pathology present) and the airway examination (in order to determine the difficulty of intubation). Depending on the nature of the operation, it may also be appropriate to examine the area related to it.
It would be prudent to check for any obvious signs of cardiovascular disease (especially undiagnosed murmurs or signs of heart failure), respiratory disease, or abdominal disease. A pre-surgery anaesthetic examination will be performed by the anaesthetist, including an assessment of the airway (normally based on the Mallampati score) before the surgery begins.
Several factors determine the nature of the specific investigations required, including the patient's co-morbidities, his or her age, as well as the procedure itself.
It is also important to note that the urgency of the surgery will determine what conditions require further investigation and management prior to the surgery. For example, it may be necessary to delay elective surgery for a patient with poorly controlled blood glucose levels in order to improve their blood glucose levels in order to undergo surgery
Although each hospital will likely provide local guidelines, it is beneficial to understand the tests that can be performed preoperatively, and to have a clear understanding of the reasons why each test may be necessary. Consult with internal medicine experts in Hebbal at Manipal Hospitals to know more about treatments.
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