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Preanesthesia evaluation for noncardiac surgery

Author
BobbieJean Sweitzer, MD, FACP
Section Editor
Natalie F Holt, MD, MPH
Deputy Editor
Marianna Crowley, MD

INTRODUCTION

All patients who undergo anesthesia must have a preanesthesia evaluation by an anesthesia clinician to assess the patient's perioperative risk and readiness for the planned procedure, and to create an anesthetic plan. This topic will discuss the components of preanesthesia evaluation, including risk assessment and appropriate preoperative testing.

Preoperative medical evaluation, medication management, and preoperative evaluation for some specific medical conditions are discussed separately. (See "Preoperative medical evaluation of the adult healthy patient" and "Perioperative medication management" and "Evaluation of cardiac risk prior to noncardiac surgery" and "Management of cardiac risk for noncardiac surgery" and "Evaluation of preoperative pulmonary risk" and "Strategies to reduce postoperative pulmonary complications in adults" and "Perioperative care of the surgical patient with neurologic disease" and "Perioperative management of heart failure in patients undergoing noncardiac surgery" and "Perioperative management of hypertension".)

GOALS FOR PREANESTHESIA EVALUATION

Goals of preoperative evaluation are to assess the patient's medical status and ability to tolerate anesthesia for the planned procedure, reduce the risks of anesthesia and surgery, and to prepare the patient for the procedure. Adequate preoperative patient evaluation and preparation may improve patient satisfaction, as well as decrease complications, delays, cancellations, costs, and mortality [1-5].

COMPONENTS OF THE PROCESS

Components of the preanesthesia evaluation process include the following:

Clinical evaluation to identify comorbid conditions, allergies, and previous complications of anesthesia

                                  
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Literature review current through: Sep 2017. | This topic last updated: Sep 05, 2017.
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References
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