17 Questions
What is the primary role of the nurse in the pre-assessment clinic?
Instigate appropriate investigations and refer to anaesthetist for review
What is the significance of nutritional status in surgical outcomes?
It has a strong correlation with morbidity, mortality, and recovery from surgery
What is the purpose of a pre-assessment clinic?
To assess patients' suitability for surgery and optimise their health
What is the role of the anaesthetist in the pre-assessment clinic?
To review high-risk patients and instigate investigations
Why is medication management important in pre-operative assessment?
To identify potential interactions with anaesthesia
Which patients do not always require a full pre-operative workup?
Young and fit patients
What is the primary goal of the pre-operative assessment?
To optimize patients for surgery
What is essential for informed consent to be valid?
The patient's understanding of the proposed procedure
What is the purpose of pre-operative fasting?
To prevent aspiration during surgery
What is the role of the anaesthetist in the pre-operative process?
To assess the patient's medical history
What is the primary focus of ERAS and prehabilitation?
To optimize patients for surgery
What is the primary goal of the pre-assessment clinic?
To optimize patients for surgery
What is the role of skilled nurse practitioners in preparing patients for anaesthesia?
They work closely with anaesthetists
What is the purpose of pre-operative tests?
To confirm patients are adequately prepared for anaesthesia and surgery
What should anaesthetic departments establish for unplanned admissions?
Clear pathways of care with surgeons, emergency departments, critical care and theatre personnel
Why should special considerations be given to children and young people?
Because they have different needs during anaesthesia and surgery
What is the goal of pre-operative assessment and preparation?
To proceed with surgery safely
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
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.
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