What do you have in mind for anaesthesia?

Assessment of the whole body condition at the time of anaesthesia is an important part of ensuring the safety of the operation and reducing complications. This assessment process is multi-faceted and aims to provide a comprehensive picture of the patient ‘ s physical condition and provide a scientific basis for the development of anaesthesia programmes. The following is a detailed assessment of the whole body condition at the time of anaesthesia:Purpose of the assessmentThe overall assessment of the condition of the body during anaesthesia is aimed at:1. Determination of anaesthesia risk of the patient.2. Identify and address potential problems that may affect the safety of anaesthesia and surgery.3. Provide the basis for the development of individualized anesthesia programmes.II. EVALUATIONGeneralAge and body weight: Age and weight are important factors in the metabolic and dose of narcotic drugs. Older and obese patients may need more detailed assessment and adjustment.Gender: Gender may influence the metabolic and effects of narcotic drugs in certain circumstances.2. Past medical historyCardiovascular system: know if the patient has a history of hypertension, coronary heart disease, cardiac disorders, and has a history of heart surgery.Respiratory system: assesses whether patients have chronic obstructive pulmonary diseases, respiratory diseases such as asthma, and a history of respiratory failure.Neural system: To know if the patient has a nervous system disease such as cerebrovascular disease, epilepsy, etc.Endocrine system: assesses whether patients have endocrine system diseases such as diabetes mellitus, thyroid diseases and their effects on anesthesia and surgery.3. The history of surgical anesthesia(c) Information on whether the patient has undergone previous surgery and anaesthesia, including methods of anaesthesia, and whether there are complications during anaesthesia.If a patient has been allergic to an narcotic drug, the use of the drug should be avoided in the present anaesthesia.4. Drug history(d) To know about the drugs that patients are currently taking, including prescription drugs, non-prescription drugs, health care, etc.Assess whether these drugs interact with the presence of narcotic drugs and whether there is a need to adjust drug-use programmes.Medical examinationVital signs: including heart rate, blood pressure, breathing, body temperature, etc., to assess whether the patient ‘ s vital signs are stable.Cardiac and pulmonary function: Listen to the heart and pulmonary, and assess whether the heart rate, the heart rhythm, the heart and the breathing sound of the lungs are normal.Neural system check: examination of patient ‘ s state of consciousness, muscle, sense, reflection, etc.Airway assessment: assesses the oral and throat structure of the patient and determines whether the airway is smooth and whether there is a risk of difficult airways.Laboratory inspectionBlood routines: knowledge of the patient ‘ s white cell count, haemoglobin, and assessment of whether there is an infection or anemia.Coagulation function: Assess the coagulation status of the patient and avoid excessive bleeding in the operation.Blood, biochemical: including liver function, kidney function, electrolyte, etc., assessment of liver and kidney function and electrolyte balance of patients.EKG: Record the heart’s telecommunication number and assess the abnormality of the heart’s function and the existence of a heart disorder.Application of the findingsAccording to the assessment, an anesthesiologist can:1. Develop individualized anesthesia programmes and select appropriate narcotic drugs and doses.2. Pre-treatment of potential problems, such as adjustment of drug programmes, optimization of CPR functions, etc.3. Closely monitor the vital signs of the patient during the operation and deal in a timely manner with possible anomalies.SummaryThe whole-body assessment of anaesthesia is a comprehensive and nuanced process that involves a multidimensional assessment. Through this assessment, an anesthesiologist is able to obtain a full picture of the patient ‘ s state of health and provide a basis for the development of a personalized anaesthesia programme, thus ensuring the safety and effectiveness of the operation. The patient should actively cooperate with the doctor in anaesthesia assessment prior to the operation to ensure its success and safety.