PREOPERATIVE CARE

Careful planning is the key to preventing

perioperative death
Informed onsent
!urgial risk assessment
!urgial deision making
INFORMED CONSENT
T"EIR#! $OT TO %A&E A REP'()
T"EIR#! $OT TO REA!O$ *"()
T"EIR#! +,T TO -O . -IE/
OPERATIVE RISK
the physial status of the patient0
the physiologial derangement that
the proedure 1ill ause0
the skill and e2periene of the
operator0
the skill and e2periene of the
anaesthetist 3inluding the hoie of
anaestheti40 and
the physiologial support servie in
the peri5operative period 3inluding
pre5operative optimisation and ritial
are4/
PHYSICAL STATUS OF THE PATIENT
"istory . Physial E2amination
Routine anillary proedures
-isease protool
ASA
6/ A normal healthy patient/
7/ A patient 1ith mild systemi disease/
8/ A patient 1ith severe systemi disease/
9/ A patient 1ith severe systemi disease
that is a onstant threat to life/
:/ A mori;und patient 1ho is not e2peted
to survive 1ithout the operation/
</ A delared ;rain5dead patient 1hose
organs are ;eing removed for donor
purposes/
Creatinine learane = 369> 5 age4 ? 1eight
3kg4 @ A7 ? serum reatinine