The purpose of the preoperative anesthesia clinic visit is to clear the patient medically for anesthesia prior to having surgery or any other invasive procedures that may require sedation.
All patients must be cleared for anesthesia since even a case scheduled for sedation (medications given to cause drowsiness) may need to convert to a general anesthetic (patient being completely asleep). The goal of the preoperative visit is to determine whether the patient is optimized (best prepared) for surgery. That is, is the patient's health as good as it can be, considering their medical history and prescribed medications.
- Patient fills out the Anesthesia Questionnaire.
- Nurse conducts Interview and initial review of the questionnaire.
- Tests are done, which may include Laboratory (blood), Electrocardiogram (EKG) , X ray, and any other tests ordered by your doctor or deemed necessary for surgery after review of your medical condition. Other more specialized tests might be ordered by the anesthesiologist depending on the disease or health-related problems of the patient.
Summary Interview: Instructions given by the preoperative nurse for admission on the day of surgery. The patient will have the opportunity to ask for any additional information or clarification of instructions.
Patients will be asked to fill out the anesthesia questionnaire describing their past medical history, current complaints, current medications, and other important information. It is helpful to fill this out in advance if you receive it from your surgeonís office or in your hospital admissionís packet.
You may download a copy of the anesthesia questionnaire from our Forms page. You may also download a copy of the "STOP BANG" sleep apnea screening questionnaire. The forms are available in multiple languages.
Have a prepared list of all your medications (including doses), as well as any over the counter or herbal medications and vitamins that you take. Medications are discussed in detail since they may negatively interact with the drugs used during anesthesia or cause excessive bleeding during surgery. Having a prepared list of doses of medications will be extremely helpful for the medical staff to review and determine which are safe for you to take prior to surgery.
It is extremely helpful for the patient to have a file containing the patientís latest blood results, chest X ray report, electrocardiogram report, and other more specialized reports such as cardiac stress test, heart electrocardiogram and/or echocardiogram, CT scan reports, or pathology reports. Though we can usually gather these documents by fax from the patientís respective doctors' offices during your visit, we will still need their current contact information and it may delay clearance for anesthesia until records can be obtained.
A preoperative admissions folder is prepared containing the Anesthesia Questionnaire, all test results, the surgeonís history and physical examand any other pertinent outside tests or medical records. A preliminary review will be performed by the anesthesiologist on call for the clinic to be sure everything is complete and no further information is necessary. The final review will be performed on the day of surgery/procedure by the anesthesiologist who is assigned to your care. Alll of this information is kept private as a part of your confidential medical record.