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Medical Expert for Anesthesia and Critical Care, Resuscitation (Revised June 2016)Preoperative Assessment Take a pertinent history, including co-existing disease, medications, allergies, previous anesthetic problems, and family history of problems with anesthesia. Identify important factors which may influence the perioperative period in patients with significant co-morbidities, including respiratory and cardiovascular disease, endocrine abnormalities and obesity. Explain how to assess fluid status and the need for patient optimization.Perform an appropriate physical exam, including assessment of the airway, respiratory and cardiovascular systems. Summarize the indications for laboratory testing and special investigations.Describe the rationale for pre-operative fasting, NPO guidelines, and pharmacological prophylaxis for aspiration.Describe the presentation, pharmacological implications, and management of malignant hyperthermia and cholinesterase deficiency. Explain the importance of early disposition planning.
About the author
Dr. Mustafa ZAKARIA, MD Residency Anesthesia and Critical Care, Resuscitation training at the Sheikh Khalifa Bin Zaid Hospital in Casablanca.Dr. ZAKARIA is an assistant editor for Anesthesia and Analgesia. His being an Active Member of the Ireland College of Anesthesia in the Obstetrical Anesthesia Department.
