Preoperative screening, evaluation, and optimization of the patient's medical status before outpatient surgery

Abstract

Preparation of patients before surgery is a necessary and vital component of perioperative medicine. Practices are developing to guide effective interventions that benefit patients and healthcare systems. Outpatients present special challenges to preoperative assessment.

Improving Preoperative Cardiac Assessment Efficiency by Using the American College of Cardiology/American Heart Association Guidelines: A Quality Improvement Project

“…Increasing knowledge and use of the ACC/AHA guideline by practitioners can further assist in determining if additional cardiac testing is necessary, potentially decreasing adverse events and treatment costs (Arora et al, 2011;Sweitzer, 2008;Williams & Bergin, 2009). Arora et al (2011) noted the adherence to published screening guidelines significantly reduces the cost of patient care.…”

Sedation in the Electrophysiology Laboratory: A Multidisciplinary Review

“…A comprehensive discussion of the preanesthesia evaluation is beyond the scope of this review. However, there are a number of excellent references on this topic including the most recent American Society of Anesthesiologists practice advisory . In brief, this evaluation should include a review of readily accessible medical records, a patient interview, a directed examination, and preoperative tests and additional consultations when indicated.…”

“…However, there are a number of excellent references on this topic including the most recent American Society of Anesthesiologists practice advisory. 49,50 In brief, this evaluation should include a review of readily accessible medical records, a patient interview, a directed examination, and preoperative tests and additional consultations when indicated. The patient's fitness for undergoing the planned procedure is determined and the patient is medically optimized to the extent possible.…”

Zasady organizacji systemu i znieczulenia pacjentów w warunkach skróconego okresu okołooperacyjnego (znieczulenia ambulatoryjne, znieczulenie w chirurgii jednego dnia)

“…Dla pacjentów dorosłych zaniechanie przyjmowania stałego pokarmu obejmuje okres 6 godzin, a ograniczenie klarownych płynów do 2 godzin przed znieczuleniem. Wynikające z planu leczenia leki należy zażyć do 2 godzin przed znieczuleniem, popijając klarownym płynem [2,5,7,10,[23][24][25]. Zdrowe niemowlęta (od 6. tyg.…”

“…życia) powinny otrzymać normalny posiłek w okresie 6 godzin przed znieczuleniem. Natomiast pokarm matki u młodszych dzieci może być podany do 4 godzin przed znieczuleniem [9,[10][11][12][23][24][25][26].…”