Preoperative Assessment : Fundamentals of

An increasing number of patients presented for anaesthesia and surgery have a significant co-existing medical disease. This book describes the assessment and optimization of patients prior to surgery. Risk analysis and cost benefit of treatment as well as implications of consent are considered. Preoperative starvation and medication are also considered.

Contributors

vi

Foreword to the Fundamentals of Anaesthesia and Acute Medicine Series

vii

Ronald M Jones

Alan R Aitkenhead

Pierre Foex

Preface

ix

Jeremy N Cashman

Section 1: Preoperative assessment of the patient

The preoperative visit

3

(18)

Jeremy N Cashman

History and examination

21

(14)

Rodney F Armstrong

Preoperative investigations

35

(23)

Joseph Foss

Implications of intercurrent disease

58

(21)

Lesley M Bromley

Section 2: Risk assessment

Assessing risk

79

(14)

Jean-Pierre Van Besouw

Section 3: Preoperative preparation of the patient

Preoperative optimisation

93

(40)

Verghese T. Cherian

Andrew A Tomlinson

Patient consent

133

(16)

Christopher Heneghan

Preoperative fasting

149

(15)

Sarah Young

Stephanie Phillips

Premedication

164

(21)

Carl Gwinnutt

Anthony McCluskey

Epilogue

185

(1)

Index

186

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Preoperative Assessment : Fundamentals of Anaesthesia and Acute Medicine

Summary

Table of Contents

Supplemental Materials