S2E1 - Pre-Op Evaluation

This is the first episode in series #2 (approach to general anesthesia). In this episode, we break down the pre-operative evaluation.  Step 1: Confirm patient identifiers and NPO statusStep 2: Focused anesthetic historyReview of systems: CV, resp, GI, GU, neuro (Bonus: endo)PmHx/PsHx with previous surgical complications - always ask about pseudocholinesterase deficiency and malignant hyperthermiaMeds/allergies and compliance to medicationStep 3: Focused physical examAirway assessmentBONES mnemonic + Mallampati scoreMouth openThyromental distanceProtrude mandible and bite upper lipNeck extension/flexion CV examResp exam(Neuro exam if indicated)ASA statusStep 4: Discuss risks and obtain informed consentRisk to teeth: 1/1000Typical risks: postoperative pain, postoperative nausea/vomiting, sore throatFor a more detailed description of the modalities of anesthesia and their indications, refer to Chapter 3 of the Ottawa Anesthesia PrimerPatterson L. Ottawa Anesthesia Primer: Patrick Sullivan. University of Ottawa, Faculty of Medicine. ECHO Book Publishing, 2012. ISBN 978-0-9918009-0-2. Can J Anesth Can d’anesthésie 2013. https://doi.org/10.1007/s12630-013-9997-4Support the show

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