Update on preoperative evaluation and optimisation

Jindal, Parul; Patil, Vijay S.; Pradhan, Rajeev; Mahajan, HitendraC; Rani, Amutha; Pabba, UpenderGowd

doi:10.4103/ija.ija_1041_22

Cited by 8 publications

(12 citation statements)

References 43 publications

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“…This partnership is built upon mutual understanding, which involves outlining the anaesthesia technique and recognising any associated risks. Simultaneously, it aims to offer premedication drugs and carry out necessary interventions before surgery [11]. A key aspect of risk assessment involves tailored investigations and referrals from other medical specialities.…”

Section: Transfer Of Care From Ed To Surgical Teammentioning

confidence: 99%

“…Assessing functional status through comprehensive measures is crucial for geriatric patients to identify those at risk and anticipate potential complications. This comprehensive evaluation includes recording all medications, doses, and a detailed history of over-the-counter and herbal drugs, illicit substance use, addiction history, malignant hyperthermia susceptibility, and other adverse reactions [11]. Anthropometric measurements and hemodynamic parameters should also be documented.…”

Section: Comprehensive Patient Evaluationmentioning

confidence: 99%

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Perioperative Preparation of Emergency Patients from Emergency Department to Operating Room

A. Zaki,

E. Shaban,

Shaban

et al. 2024

New Insights in Perioperative Care

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Perioperative preparation for emergency patients is paramount, as it entails a comprehensive approach to ensure the safety, well-being, and successful outcomes of individuals facing urgent surgical interventions. In the preoperative phase, rapid but essential steps are taken, such as assessing the patient’s medical history, conducting diagnostic tests, and stabilising their condition to minimise risks during surgery. So in this chapter, we will discuss the importance of formation of the multidisciplinary team, efficiency improvements, identifying the need for emergency department (ED) to operating room (OR) Handoff Standardisation, and integration of ED nurses into the OR. It begins by establishing the criteria for identifying patients needing urgent surgery, encompassing traumatic injuries and acute medical conditions. It extensively covers the interdisciplinary collaboration required among ED staff, OR teams, anaesthesiologists, surgeons, and nurses. The scope includes patient assessment and stabilisation procedures conducted in the ED, focusing on diagnostics, interventions, and life-saving measures. Furthermore, the chapter delves into handoff protocols and communication strategies, highlighting their crucial role in ensuring safe and efficient patient transfers. It addresses resource allocation, emphasising the optimisation of operating rooms, equipment, and personnel. The chapter also acknowledges the importance of patient and family engagement, stressing clear communication, informed consent, and emotional support.

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Section: Transfer Of Care From Ed To Surgical Teammentioning

confidence: 99%

Section: Comprehensive Patient Evaluationmentioning

confidence: 99%

Perioperative Preparation of Emergency Patients from Emergency Department to Operating Room

A. Zaki,

E. Shaban,

Shaban

et al. 2024

New Insights in Perioperative Care

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“… 6 Thus, a detailed preoperative assessment and evaluation leads to decreases in postoperative complications, morbidity, and mortality. 7 …”

Section: Introductionmentioning

confidence: 99%

Factors Affecting Nursing and Midwifery Students Knowledge Regarding Preoperative Nursing Care

Alnjadat,

Etoom

2024

AMEP

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Background Preoperative competence is a crucial aspect of nursing and midwifery students’ education to improve the quality of care and patient safety. It assists nursing and midwifery students in maintaining and enhancing their practice by determining strength and areas that should be developed. Purpose This study aims to assess the level of nursing and midwifery students’ knowledge regarding preoperative nursing care and determine the most influencing demographic variables. Methods A descriptive cross-sectional design using an online self-administered questionnaire was utilised among 202 nursing and midwifery students selected by simple random sampling. The Perceived Preoperative Nursing Care Competence Scale for Nursing students (PPreCC-NS) was used to assess the perceived preoperative nursing care competence of nursing and midwifery students. Descriptive statistics were obtained, and multiple regression was used for data analysis. Results The overall level of perceived preoperative nursing care competence was adequate 99.09 ( SD = 10.81). The highest mean score was recorded for ability to fulfil legal responsibilities and adherence to ethical principles ( M = 23.6, SD = 2.53). The lowest mean score was obtained for research and professional development ( M = 17.6, SD = 2.60). The regression analysis showed that place of residency explained significantly about 4.53% of the variance in the nursing and midwifery students’ knowledge regarding preoperative nursing care, and it was the strongest predictor ( B = 0.218, p = 0.002). Conclusion The perceived level of preoperative nursing care among nursing and midwifery students was found to be adequate and associated with place of residence. Future research should be conducted to explore factors affecting nursing and midwifery students’ preoperative competence in different cultures and contexts.

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“…Preoperative investigations and assessment remain the cornerstone practice of surgeons across the globe. The mainstay of preoperative investigations is to collect information for formulating suitable perioperative anaesthetic management of patients, so that safe anaesthesia can be administered and morbidity and mortality can be reduced 1 . Thus, routine laboratory investigations, such as complete blood count (CBC), urea and creatinine (U&C), prothrombin time (PT), serum electrolyte (ELE), fasting and random blood glucose (FBG and RBG), electrocardiogram (ECG) and chest X-ray (CXR), are highly common 2 .…”

Section: Introductionmentioning

confidence: 99%

Current practice of pre-operative assessment at a public sector hospital in Pakistan – a clinical audit

Urooj,

Mughal,

Siddiqui

et al. 2024

J Pak Med Assoc

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Objective: To assess the practice of ordering unnecessary laboratory investigations by primary surgical teams. Method: The clinical audit was conducted from December 17, 2022, to January 15, 2023, at the Civil Hospital, Karachi, and comprised primary surgeons working in different surgical units who ordered laboratory investigations for patients as a part of preoperative assessment. Data was collected using a self-administered questionnaire. Data was analysed using SPSS 20. Results: Of the 280 surgeons approached, 249(89%) responded. The units covered were General surgery 96(38.5%), Gynaecology 74(29.7%), Neurosurgery 5(2.0%), Ear, Nose and Throat 19(7.6%), Plastic surgery 15(6.02%), Paediatric surgery 13(5.2%), Vascular surgery 8(3.21%), Oromaxilofacial 9(3.61%), Opthalmology 6(2.4%), and Orthopaedics 4(1.60%).As part of baseline investigations, 244(98%) surgeons ordered complete blood count, 173(69.5%) ordered urea and creatinine, 229(92%) ordered viral markers, 197(78.7%) ordered fasting and random blood glucose, and 178(71.5%) focussed on cardiac fitness. Conclusion: There was a found a need for standard protocols for pre-surgery evaluation so that unnecessary investigations may be avoided. Key Words: Preoperative, Investigation, Guidelines, Assessment, Audit.

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Update on preoperative evaluation and optimisation

Cited by 8 publications

References 43 publications

Perioperative Preparation of Emergency Patients from Emergency Department to Operating Room

Perioperative Preparation of Emergency Patients from Emergency Department to Operating Room

Factors Affecting Nursing and Midwifery Students Knowledge Regarding Preoperative Nursing Care

Current practice of pre-operative assessment at a public sector hospital in Pakistan – a clinical audit

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