PRE-OPERATIVE PREPARATION OF THE PATIENT.
Posted on
2023-07-27 03:11:49 by Sathish
There are some common investigations done to assess the important systems of patient and so patient can undergo surgery safely. The commonly done investigations are as follows.
Haemoglobin
Packed Cell Volume
Bleeding Time
Clotting Time
Prothrombin Time
International Normalised Ratio (INR)
Blood Sugar
Blood Urea
Serum Creatinine
Blood Grouping and Typing
HbAIC in case of diabetic patients to assess the diabetic control.
Thyroid Hormonal study in case of thyroid disease patients
Viral markers for Hepatitis B and C virus
Human Immunodeficiency Virus (HIV).
X Ray chest
Electro Cardio Gram (ECG)
Echo Cardio Gram in case of suspected heart disease
OTHER SPECIALIST OPINION.
CARDIOLOGIST OPINION IN CASE OF PATIENT WITH CARDIAC DISEASE OR AGE ABOVE 50 YEARS.
DIABETOLOGIST OPINION IN CASE OF DIABETIC PATIENTS.
PULMONOLIST OPINION IN CASE OF LUNG PROBLEM
NEPHROLOGIST OPINION IN CASE OF ANY ASSOCIATED KIDNEY PROBLEM.
NEUROLOGIST OPINION IN CASE OF SUSPECTED NEUROLOGICAL PROBLEM.
HEMATOLOGIST OPINION IN CASE OF SUSPECTED HEMOLYTIC JAUNDICE.
After obtaining all the relevant opinions, then the patient will be evaluated by the anaesthesiologist.
ANAESTHESIOLOGIST OPINION REGARDING FITNESS FOR SURGERY
At this stage, anaesthesiologist physically see the patient and assess the patient for fitness for surgery. Usually, anaesthesiologist will see the patient and assess the airway, nutritional status and general condition of the patient. History of any previous surgery and any events with previous surgery will also be documented. Also, history of any allergic reactions to any drugs will also be notified. After this the anaesthesiologist will give pre operative instructions especially continuing or discontinuing the regular pre operative medications.
COMMON PRE-OPERATIVE DRUG MANAGEMENT
This varies with individual patients. Common precautions are:
Anti-platelet drugs taken for heart disease or brain disease will be stopped three to five days before surgery.
Usually, oral anti diabetic drugs will be stopped on the day of surgery. The diabetic management will be with insulin as per blood sugar levels or as per diabetologist opinion during peri-operative period.
Most of the other regular medicines will be continued. Drugs for other diseases like thyroid deficiency will be continued as before surgery. Newer drugs will be continued as per the anaesthesiologist advice.
