Preoperative evaluation and patient preparation
Usually, the work of a young anaesthetist in perioperative care is vital. Therefore, much attention should be paid to it. Preoperative evaluation is commonly made before all surgical procedures. Nevertheless, its extent differs whether it is elective or emergency surgery and at the same time age and other comorbidities must be considered as well. Because it would be impossible to cover all the variations on one patient the algorithm includes more patients with various perioperative status. These patients should be prepared for different types of surgery (acute vs. elective). While solving the algorithm you can meet the same patient more than once, therefore, it is necessary to stay concentrated.
Review
Multimedial educational algorithm „Preoperative evaluation and patient preparation for anaesthesia and surgery“ simulates mental processing and decision making of an anaesthetist in clinical praxis. The authors offer for each model situation three possible solutions, just one of them being correct. The most common cases are presented: patients with various complications scheduled for elective surgery as well as patients indicated for acute surgery with different levels of urgency. Case reports are accompanied by illustrative pictures and necessary results of auxiliary examinations. I appreciate the well-chosen topics and detailed step by step algorithm from first decision to final solution of each case.
Sources
WYATT, Jonathan P. Oxford handbook of emergency medicine. 4th ed. Oxford: Oxford University Press, 2012. ISBN 9780199589562.
Předoperační vyšetření a příprava chirurgického pacienta. Interní medicína pro praxi [online]. 2012, 14(11), 422–428 [cit. 2017-04-12]. Available on: http://www.internimedicina.cz/pdfs/int/2012/11/06.pdf
Hypokalémie. Interní medicína pro praxi [online]. 2006, 8(9), 385–388 [cit. 2017-04-12]. Available on: http://www.internimedicina.cz/pdfs/int/2006/09/04.pdf
Doporučený postup pro tzv. předanestetické vyšetření. ČSARIM [online]. 2009 [cit. 2017-04-12]. ]. Retrieved from: http://www.csarim.cz/Public/csarim/doc/postupy/MP_CSARIM_Predanest_vysetreni_verze_2_final_190509.pdf
Related algorithms
- Toxic reactions to local anaesthetics
- Severe allergic reaction
- Acute abdomen from a anesthesiological viewpoint
- Acid-base balance
- Difficult airway management - 2014
- Malignant Hypertermia - 2014
- Anesthesia for thoracic surgery
- Anaesthesia of obese patient
- Anaesthesia in the elderly patients
- Anaesthesia in myotonia congenita Becker
- Anaesthetic Management of Patient with Diabetes Mellitus
- Anaesthetic Management in THA
