General Preoperative Assessment - Revision history

WikiSysop at 16:02, 10 April 2026

2026-04-10T16:02:06Z

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	[https://pubmed.ncbi.nlm.nih.gov/41698393/ The Pediatrician's Role in the Evaluation and Preparation of Pediatric Patients Undergoing Anesthesia]		[https://pubmed.ncbi.nlm.nih.gov/41698393/ The Pediatrician's Role in the Evaluation and Preparation of Pediatric Patients Undergoing Anesthesia]



			1. Beckman HB, Frankel RM: The effect of physician behavior on the collection of data. Annals of internal medicine 1984, 101(5):692–696.

			2. Roter D, Larson S: The Roter interaction analysis system (RIAS): utility and flexibility for analysis of medical interactions. Patient Educ Couns 2002, 46(4):243–251.

			3. Lichstein PR: The medical interview. Clinical Methods: The History, Physical, and Laboratory Examinations 3rd edition 1990.

			4. Marvel MK, Epstein RM, Flowers K, Beckman HB: Soliciting the patient’s agenda: have we improved? Jama 1999, 281(3):283–287.

			5. Dyche L, Swiderski D: The effect of physician solicitation approaches on ability to identify patient concerns. Journal of general internal medicine 2005, 20(3):267–270.

			6. Willging AM, Castro E, Xu J: Physician-patient communication in vascular surgery: Analysis of encounters in academic practice. SAGE Open Med 2022, 10:20503121221122414.

WikiSysop at 13:51, 11 March 2026

2026-03-11T13:51:20Z

← Older revision		Revision as of 13:51, 11 March 2026
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	[https://journals.lww.com/anesthesiologyopen/fulltext/2026/01000/american_society_of_anesthesiologists_statement_on.2.aspx American Society of Anesthesiologists Statement on ASA Physical Status Classification System]		[https://journals.lww.com/anesthesiologyopen/fulltext/2026/01000/american_society_of_anesthesiologists_statement_on.2.aspx American Society of Anesthesiologists Statement on ASA Physical Status Classification System]

			[https://pubmed.ncbi.nlm.nih.gov/41698393/ The Pediatrician's Role in the Evaluation and Preparation of Pediatric Patients Undergoing Anesthesia]

WikiSysop at 16:21, 24 December 2025

2025-12-24T16:21:51Z

← Older revision		Revision as of 16:21, 24 December 2025
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	[https://journals.lww.com/anesthesia-analgesia/fulltext/2026/01000/enhancing_anesthetic_preoptimization__promising.14.aspx Enhancing Anesthetic Preoptimization: Promising Opportunities for Innovation in Economically Diverse Regions]		[https://journals.lww.com/anesthesia-analgesia/fulltext/2026/01000/enhancing_anesthetic_preoptimization__promising.14.aspx Enhancing Anesthetic Preoptimization: Promising Opportunities for Innovation in Economically Diverse Regions]

			[https://journals.lww.com/anesthesiologyopen/fulltext/2026/01000/american_society_of_anesthesiologists_statement_on.2.aspx American Society of Anesthesiologists Statement on ASA Physical Status Classification System]

WikiSysop at 02:14, 20 December 2025

2025-12-20T02:14:07Z

← Older revision		Revision as of 02:14, 20 December 2025
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	[https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/anae.70046 ASA physical status classification: a relic of a bygone time?]		[https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/anae.70046 ASA physical status classification: a relic of a bygone time?]

			[https://journals.lww.com/anesthesia-analgesia/fulltext/2026/01000/enhancing_anesthetic_preoptimization__promising.14.aspx Enhancing Anesthetic Preoptimization: Promising Opportunities for Innovation in Economically Diverse Regions]

WikiSysop at 18:50, 23 October 2025

2025-10-23T18:50:23Z

← Older revision		Revision as of 18:50, 23 October 2025
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	[https://journals.lww.com/anesthesia-analgesia/fulltext/9900/assessment_of_gastric_content_using_gastric.1493.aspx Assessment of Gastric Content Using Gastric Ultrasound in Patients on Glucagon-Like Peptide-1 Receptor Agonists Before Anesthesia]		[https://journals.lww.com/anesthesia-analgesia/fulltext/9900/assessment_of_gastric_content_using_gastric.1493.aspx Assessment of Gastric Content Using Gastric Ultrasound in Patients on Glucagon-Like Peptide-1 Receptor Agonists Before Anesthesia]

			[https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/anae.70046 ASA physical status classification: a relic of a bygone time?]

WikiSysop at 00:30, 3 October 2025

2025-10-03T00:30:20Z

← Older revision		Revision as of 00:30, 3 October 2025
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	[https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/anae.16723 Age, ASA physical status and surgical outcomes: insights from a nationwide cohort study]		[https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/anae.16723 Age, ASA physical status and surgical outcomes: insights from a nationwide cohort study]

			[https://journals.lww.com/anesthesia-analgesia/fulltext/9900/assessment_of_gastric_content_using_gastric.1493.aspx Assessment of Gastric Content Using Gastric Ultrasound in Patients on Glucagon-Like Peptide-1 Receptor Agonists Before Anesthesia]

WikiSysop at 01:09, 1 August 2025

2025-08-01T01:09:05Z

← Older revision		Revision as of 01:09, 1 August 2025
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	[https://pubmed.ncbi.nlm.nih.gov/32665468/ The Pediatric-Specific American Society of Anesthesiologists Physical Status Score: A Multicenter Study]		[https://pubmed.ncbi.nlm.nih.gov/32665468/ The Pediatric-Specific American Society of Anesthesiologists Physical Status Score: A Multicenter Study]

			[https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/anae.16723 Age, ASA physical status and surgical outcomes: insights from a nationwide cohort study]

WikiSysop at 11:50, 8 June 2025

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	~~===~~= Introduction ~~===~~=		=Introduction=
	The preoperative assessment is the first step in providing effective anesthesia for a patient. It is a process by which the anesthesia provider intentionally evaluates their patient and creates a plan to safely conduct anesthetic care. As many surgeries are becoming outpatient cases, the preoperative assessment is often done on the day of surgery, however, depending on the patient and their comorbidities, the nature of the surgery, and the institution providing care, this assessment can also be done further in advance in a preoperative clinic setting. The major goals of the preoperative assessment are to build rapport with the patient and their support person(s), ensure the patient is medically fit for surgery, perform a physical exam including airway exam, educate on the risks and benefits of the anesthetic plan, determine the need for any special monitors, lab work or medications, and obtain informed consent.		The preoperative assessment is the first step in providing effective anesthesia for a patient. It is a process by which the anesthesia provider intentionally evaluates their patient and creates a plan to safely conduct anesthetic care. As many surgeries are becoming outpatient cases, the preoperative assessment is often done on the day of surgery, however, depending on the patient and their comorbidities, the nature of the surgery, and the institution providing care, this assessment can also be done further in advance in a preoperative clinic setting. The major goals of the preoperative assessment are to build rapport with the patient and their support person(s), ensure the patient is medically fit for surgery, perform a physical exam including airway exam, educate on the risks and benefits of the anesthetic plan, determine the need for any special monitors, lab work or medications, and obtain informed consent.

	~~===~~= Chart Review ~~===~~=		=Chart Review=

	==== History and Physical ====		==History and Physical==
	Obtaining a focused yet thorough patient history is a hallmark of the preoperative assessment. History often includes:		Obtaining a focused yet thorough patient history is a hallmark of the preoperative assessment. History often includes:

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	URI - case cancellation, laryngospasm risk		URI - case cancellation, laryngospasm risk

	Allergies- ~~how food allergies can suggest propofol or latex allergy~~		Allergies- to medications, foods, environmental factors.

	Meds - drug interactions		Meds - drug interactions
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	ROS - insert another table		ROS - insert another table

	==== Pre-operative Labs ====		==Pre-operative Labs==

	~~==== Pre-operative Imaging ====~~		#Hemoglobin/hematocrit/platelets
			#Electrolytes
			#Liver function
			#Coagulation
			#Specifically indicated

	==~~== ASA Physical Status Classification ==~~==		==Pre-operative Imaging==

			#Chest x-ray
			#CT scan
			#MRI

			=ASA Physical Status Classification=

			=Discussion with Surgeon/Procedurist=

			Discussion with patient/parent [guardiab]

	{{Stub Notice}}		{{Stub Notice}}

WikiSysop at 11:41, 8 June 2025

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← Older revision		Revision as of 11:41, 8 June 2025
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	==== ASA Physical Status Classification ====		==== ASA Physical Status Classification ====


	{{Stub Notice}}		{{Stub Notice}}

GiftyAgyemang at 23:21, 24 February 2025

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@@ Line 7: / Line 7: @@
 Obtaining a focused yet thorough patient history is a hallmark of the preoperative assessment. History often includes:
-# Medical history and comorbidities
+# Medical history and comorbidities (include gestational age, complications at birth/NICU admission)
 # Indications for the surgery
 # NPO status
 # History of previous anesthetics and any known complications (i.e. difficult airway, PONV, intraoperative complications)
 ==== Pre-operative Labs ====