Pre-aesthesia assessments are an important step in ensuring the safety of the operation and are an essential part of the pre-surgery process. The aim is to develop a comprehensive understanding of the patient ‘ s physical condition, with a view to developing individualized anaesthesia programmes, identifying potential risk factors that may affect the prognosis, and taking appropriate measures to reduce the risk during the operation and the anesthesia process. The following is a description of the pre-aesthetic assessment:
I. EVALUATION
Medical history collection
More detailed information is available on the basic information about the age, gender, height, weight change, past history, family history, anaesthesia, drug use and allergy. To know if the patient has cardiovascular diseases, respiratory diseases, nervous system diseases, endocrine diseases, etc., as well as the severity of these diseases and the treatment of drugs and surgery. The most common diseases are hypertension, diabetes, asthma, rheumatism arthritis, coronary heart disease, cerebral infarction, etc., with full knowledge of drug control.
Medical examination Test vital signs including blood pressure, pulse, breathing, body temperature, etc. Check if the teeth are loose, difficult airways, neck activity, hard bends on the side of the spine, etc., and assess whether there is a lack of air flow and an anomaly in the spine. Cardiac and pulmonary consultations are conducted to assess the cardiac rate, the heart rate, the heart tone and the sound of respiratory sound in the lungs. The six-minute walk experiment allows for a simple assessment of metabolic eq. Examination of the functions of the nervous system, including the state of consciousness, muscles, feelings, reflexes, etc., and the existence of anaesthesia taboos.
3. Laboratory examination (compulsory project) Blood routines: knowledge of the patient ‘ s indicators of erythrocytes, white cells, slabs, etc., and assessment of anemia and whether pre-operative correction is required. Coagulation function: Assesses the ability of the patient to condensate, is not condensed with abnormalities, is not at risk of embolism and is not subject to abnormal bleeding during the operation. Liver and kidney function testing: To understand the liver and kidney function of the patient and to ensure normal metabolic and excretion of the substance. Blood type: The patient ‘ s blood type is determined in order to have a blood transfusion if necessary.
4. An electrocardiogram to record the telecommunication number of the heart through an electrocardiogram to assess the function of the heart and the existence of abnormalities such as cardiac disorders. This is a mandatory check-up, and in case of anomalies, further checks are required, such as cardiac color, myocardial enzyme, BNP, 24-hour dynamic EKG, etc.
5. Video-inspection Breast X-ray or CT: used to assess the structure and functioning of the lungs and the heart and to diagnose the existence of internal diseases.
6. Special examinations may require further special examinations for patients with complications, such as cardiac examination, aerobics analysis, etc., for patients with heart disorders; and lung function testing for patients with lung deficiencies.
Pre-operative assessment process: After the compulsory pre-operative examination of the patient, there are conditions for an anaesthesia clinic assessment, reduction of hospitalization time, acceleration of turnover rate, and the absence of an anaesthesia clinic waiting for an anaesthetist assessment in the pre-operative ward on the first day. If there is a special need for a specialist consultation, it is even organized throughout the institution.
1. Ensuring the safety of the operation: an understanding of the overall health of the patient: a comprehensive understanding of the patient ‘ s physical condition and condition through medical history collection and medical examination, and a detailed anaesthesia plan to ensure the patient ‘ s safety during the surgery. 2. Forecasting of the risk of anaesthesia: to predict the problems that may arise in the course of anaesthesia, based on the patient ‘ s medical history, medical examination and laboratory examination, and to develop appropriate treatment measures. 3. Development of a suitable anaesthesia programme: the most appropriate anaesthesia programme, taking into account the specific circumstances of the patient, to ensure that the process of anaesthesia is carried out. 4. Improving the success rate of the operation: reduce the risks and increase the success rate through a comprehensive pre-operative assessment. 5. Improving patients ‘ comfort: Pre-operative assessment helps to alleviate patients ‘ anxiety, increase the involvement of patients and their families and increase patient coordination.
1. Patient co-operation: Prior to the operation, the patient should actively cooperate with the doctor in pre-aesthesia assessment, providing information on the history of the disease and the use of the medication. Full communication with doctors to inform them of their health status and concerns. 2. Doctors: Anaesthetists should have substantial clinical experience and expertise to assess the patient ‘ s state of health accurately and develop their most skilled and appropriate anaesthesia programme. 3. Adequate communication: Anaesthetists should fully communicate with the patient and his/her family, explain the risks of surgery and anaesthesia, care, etc., and help the patient to prepare psychologically.
In conclusion, pre-aesthesia assessment is one of the important steps in ensuring surgical safety. Through a comprehensive assessment and examination, doctors are able to understand the patient ‘ s state of health and condition, develop the most appropriate individualized anaesthesia programme, reduce risks during surgery and anaesthesia, ensure patient safety and increase patient satisfaction.
