Preoperative evaluation

Template

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Counseling

Follow the fasting and medication instructions from the surgical and anesthesia teams. Let the surgical team know about any new fever, cough, or illness before the procedure; the anesthesia team makes the final decision to proceed on the day of the procedure. Caregiver expressed understanding and agreement with plan. Answered all questions.

Note when inserted as is

Preoperative evaluation
• Medications, allergies including latex, and immunizations reviewed
• No personal or family history of malignant hyperthermia, other anesthesia complications, or bleeding problems
• No current respiratory illness, poorly controlled asthma, sleep apnea symptoms, or cardiac concerns
• Acceptable candidate for the planned procedure from a medical standpoint
• No routine preoperative testing indicated
• Findings communicated to the procedural team
• Follow up as needed

Follow the fasting and medication instructions from the surgical and anesthesia teams. Let the surgical team know about any new fever, cough, or illness before the procedure; the anesthesia team makes the final decision to proceed on the day of the procedure. Caregiver expressed understanding and agreement with plan. Answered all questions.

What the sources cover

Airway, OSA, respiratory, cardiac risks (exclusive negative)

Sources

This template was built from clinical practice; no source is linked yet.

Few formal guidelines cover this topic, so the template also leans on expert opinion.