Pre-Operative Care and Optimisation

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Questions and Answers

What is the primary role of the nurse in the pre-assessment clinic?

Perform surgical procedures under anaesthesia

Instigate appropriate investigations and refer to anaesthetist for review (correct)

Review high risk patients and instigate investigations

Provide post-operative care and patient education

What is the significance of nutritional status in surgical outcomes?

It has a weak correlation with morbidity and mortality

It has no correlation with morbidity and mortality

It only affects hospital stay

It has a strong correlation with morbidity, mortality, and recovery from surgery (correct)

What is the purpose of a pre-assessment clinic?

To provide post-operative care and patient education

To perform surgical procedures under anaesthesia

To refer patients to specialist doctors

To assess patients' suitability for surgery and optimise their health (correct)

What is the role of the anaesthetist in the pre-assessment clinic?

To review high-risk patients and instigate investigations Signup and view all the answers

Why is medication management important in pre-operative assessment?

To identify potential interactions with anaesthesia Signup and view all the answers

Which patients do not always require a full pre-operative workup?

Young and fit patients Signup and view all the answers

What is the primary goal of the pre-operative assessment?

To optimize patients for surgery Signup and view all the answers

What is essential for informed consent to be valid?

The patient's understanding of the proposed procedure Signup and view all the answers

What is the purpose of pre-operative fasting?

To prevent aspiration during surgery Signup and view all the answers

What is the role of the anaesthetist in the pre-operative process?

To assess the patient's medical history Signup and view all the answers

What is the primary focus of ERAS and prehabilitation?

To optimize patients for surgery Signup and view all the answers

What is the primary goal of the pre-assessment clinic?

To optimize patients for surgery Signup and view all the answers

What is the role of skilled nurse practitioners in preparing patients for anaesthesia?

They work closely with anaesthetists Signup and view all the answers

What is the purpose of pre-operative tests?

To confirm patients are adequately prepared for anaesthesia and surgery Signup and view all the answers

What should anaesthetic departments establish for unplanned admissions?

Clear pathways of care with surgeons, emergency departments, critical care and theatre personnel Signup and view all the answers

Why should special considerations be given to children and young people?

Because they have different needs during anaesthesia and surgery Signup and view all the answers

What is the goal of pre-operative assessment and preparation?

To proceed with surgery safely Signup and view all the answers

Study Notes

Pre-Operative Optimisation

Primary care plays a crucial role in optimising patients before surgery to reduce morbidity, mortality, and hospital stay
Conditions to optimise include diabetes, respiratory conditions, anaemia, smoking, and weight
Pre-assessment involves history, examination, drug history, and medication review

Pre-Assessment Clinic

Nurse-led clinics work with anaesthetists to identify high-risk patients and instigate investigations
Nurses refer high-risk patients to anaesthetists for further review
Patient information includes pre- and post-operative instructions

Anaesthetist Role

Review high-risk patients and instigate/review investigations (e.g., ECGs, lung function tests)
Further specialist review may be necessary (e.g., cardiologist, respiratory specialist)
Anaesthetists identify patients requiring special care (e.g., day stay, inpatient, ward, HDU, critical care)

Pre-Operative Preparation

Informed consent is essential for procedures
Immediate pre-operative procedures include fasting, antibiotics, thromboembolism prevention, and checklists
Patient optimisation is crucial, including ERAS (Enhanced Recovery After Surgery) and prehabilitation

AABGI Guidelines

Anaesthetists ensure patients are adequately prepared before surgery can proceed
Tests performed before surgery should follow national and local guidelines and protocols
Special considerations are necessary for children and young people undergoing anaesthesia and surgery

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Description

Test your knowledge on the role of primary care in pre-operative optimisation, including managing chronic conditions, medication, and nutrition to improve surgical outcomes. Learn about the importance of smoking cessation, weight loss, and reducing alcohol intake. Assess your understanding of pre-assessment, history taking, and examination techniques.