Pre-anesthesia Checkup
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Preanesthetic A preanesthetic agent (or preanaesthetic agent) is a drug that is given before the administration of an anesthetic to make anaesthesia more pleasant and safe. Examples Examples of preanesthetic agents are: *Acepromazine *atropine * diazepam * S ...
assessment (also called Preanesthesia evaluation, Pre-anesthesia checkup (PAC) or simply Preanesthesia) is a medical check-up and laboratory investigations done by an anesthesia provider or a registered nurse before an
operation Operation or Operations may refer to: Arts, entertainment and media * ''Operation'' (game), a battery-operated board game that challenges dexterity * Operation (music), a term used in musical set theory * ''Operations'' (magazine), Multi-Ma ...
, to assess the patient's physical condition and any other medical problems or diseases the patient might have. The goal of the assessment is to identify factors that significantly increase the risk of complications, and modify the procedure appropriately. The aim is to identify the appropriate anesthetic techniques to be used, to ensure the safety of perioperative care, optimal resource use, improved outcomes, and patient satisfaction, while considering the individual and person related risk factors and circumstances. The preanesthetic assessment involves the consideration of information from various sources that include the past medical records, interview, physical examination, as well as results from medical and laboratory tests. General recommendations have been published in the USA and in India. A
mnemonic A mnemonic ( ) device, or memory device, is any learning technique that aids information retention or retrieval (remembering) in the human memory for better understanding. Mnemonics make use of elaborative encoding, retrieval cues, and imag ...
has been suggested for pre-anesthetic assessment, to ensure that all aspects are covered.V R Hemanth Kumar et al. (2013)
''A useful mnemonic for pre-anesthetic assessment''
Journal of Anaesthesiology/Clinical Pharmacology, Vol. 29 Issue 4, p. 560-1
It runs
alphabet An alphabet is a standardized set of basic written graphemes (called letters) that represent the phonemes of certain spoken languages. Not all writing systems represent language in this way; in a syllabary, each character represents a syll ...
ically: :A - Affirmative history;
Airway The respiratory tract is the subdivision of the respiratory system involved with the process of respiration in mammals. The respiratory tract is lined with respiratory epithelium as respiratory mucosa. Air is breathed in through the nose to th ...
:B - Blood
hemoglobin Hemoglobin (haemoglobin BrE) (from the Greek word αἷμα, ''haîma'' 'blood' + Latin ''globus'' 'ball, sphere' + ''-in'') (), abbreviated Hb or Hgb, is the iron-containing oxygen-transport metalloprotein present in red blood cells (erythrocyte ...
, blood loss estimation, and blood availability;
Breathing Breathing (or ventilation) is the process of moving air into and from the lungs to facilitate gas exchange with the internal environment, mostly to flush out carbon dioxide and bring in oxygen. All aerobic creatures need oxygen for cellular ...
:C - Clinical examination; Co-morbidities :D -
Drugs A drug is any chemical substance that causes a change in an organism's physiology or psychology when consumed. Drugs are typically distinguished from food and substances that provide nutritional support. Consumption of drugs can be via inhalat ...
being used by the patient; Details of previous anesthesia and surgeries :E - Evaluate investigations; End point to take up the case for surgery :F - Fluid status;
Fasting Fasting is the abstention from eating and sometimes drinking. From a purely physiological context, "fasting" may refer to the metabolic status of a person who has not eaten overnight (see " Breakfast"), or to the metabolic state achieved after ...
:G - Give physical status; Get
consent Consent occurs when one person voluntarily agrees to the proposal or desires of another. It is a term of common speech, with specific definitions as used in such fields as the law, medicine, research, and sexual relationships. Consent as und ...


References

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