Pre-operative Assessment. Dr Will Dooley
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1 Pre-operative Assessment Dr Will Dooley
2 Plan Exam format Structure for history and examination Options for investigations Why is it important?? Commonly examined in Finals Reduce morbidity and mortality Reduce cancellations
3 How do you structure a pre-op assessment? Please perform a pre-operative assessment on this 85yo life long smoker who has been booked for transurethral resection of prostate (TURP). History Examination Investigation Management
4 Communication Skills OSCE Station Please TAKE A HISTORY from this 85yo life long smoker who has been booked for transurethral resection of prostate (TURP).
5 85yo for TURP Mr Griffin has suffered two "mini-strokes" in the past two years, since which he taken blood thinning tablets. He has never had a heart attack and has had no previous operations. He has smoked twenty cigarettes a day since aged 15. He is a retired shopkeeper. He lives in a warden controlled flat and has meals-on-wheels. He can get around the home with a frame but is limited by his breathing. He states his breathing has been bad for years and he has a cough productive of clear sputum all year round. He states he gets a bad acidic taste when he ties his laces.
6 History structure Current state Baseline / Recent condition Past Medical History Especially cardiovascular and respiratory / sleep apnoea symptoms Current control of medical conditions Past Surgical History / Previous anaesthetic Any anaesthetic or surgical complications Drug history Including allergies Family history Anaesthetic e.g. malignant hyperthermia Social history Smoking Dependence Exercise Tolerance Anaesthetic specifics Dentition / Dentures
7
8 DRUGS TO STOP DRUGS TO ALTER DRUGS TO CONTINUE DRUGS TO ADD DISCUSS WITH ANAESTHETIST / SURGEON
9 DRUGS TO STOP Aspirin/Clopidogrel: 7 days before, unless high risk Metformin: 2 days either side of surgery Diuretics & ACE-inhibitors: On day of surgery Combined oral contraceptive pill / HRT: 4 weeks pre op if high VTE risk Psychiatric drugs Monoamine Oxidase Inhibitors (MAOI) 2 weeks before
10 DRUGS TO ALTER Insulin: consider sliding scale Steroids: may need to change to IV steroids Anti-coagulation
11 Bridging Warfarin 5 days before stop Warfarin Start LMWH if high risk Stop LMWH day before 1 day before check INR Continue op if INR < 1.5 Consider vit K if INR >1.5
12 DRUGS TO CONTINUE IF IN DOUBT, ASK THE ANAESTHETIST / SURGEON Anti-hypertensives Antacids / PPI Anti-arrythmics Anti-anginals Anti-depressants (other than MAOI) Benzodiazapines Bronchodilators Parkinson / Epilepsy medications Thyroid medications
13 DRUGS TO ADD Pre-operative - Bowel prep Intraoperative - TEDS stockings Post-operative - LMWH
14 Clinical Skills OSCE Station Please EXAMINE from this 85yo life long smoker who has been booked for transurethral resection of prostate (TURP).
15 Examination A Any intubation concerns (including dentures) Review mouth opening (Mallampati classification) B Examine respiratory system C Examine cardiovascular system Any signs of heart failure or respiratory distress
16 Practical Skills OSCE Station What investigations would you order for this patient? Anything else you may consider doing?
17 NICE Guideline
18 Investigations Bedside ECG Random blood glucose Urine Analysis Peak Flow Bloods FBC U+E Clotting e.g. PT / APTT / INR Imaging Chest X-ray Special tests (for ASA 2/3 consider): Arterial Blood Gas Lung Function Tests Echocardiogram MRSA Swabs
19 NICE Guideline?Nice
20 Which tests? Depends on 1. The Patient Age Co-morbidities and Risk grading 2. The Operation Severity / complexity
21 The patient American Society of Anesthesiologists ASA Grade 1 ASA Grade 2 ASA Grade 3 Normal Healthy Patient A patient with mild systemic disease A patient with severe systemic disease Mortality (%) ASA Grade 4 ASA Grade 5 ASA Grade 6 A patient with severe systemic disease that is a constant threat to life A moribund patient unlikely to survive 24hrs with or without surgery A brain dead patient who s organs are for donor purposes
22 The patient ** ASA BINGO **
23 ASA 1 ASA 2 ASA 3 ASA 4 ASA 5 Patient ASA 6with Asthma and well controlled DM Patient Healthy. with HTN Current Declared smoker brain (10/day) dead Poorly Non smoker controlled with Patient 3 anti-htn in resus meds BMI For 35 organ donoation Patient with IHD BMI 29 Ruptured aneurysm MI 1 week ago Minimal ETOH PMH: HTN/IHD Ongoing valve dysfunction
24 ASA Grade 2/3 What is mild/severe? Angina Hypertension DM COPD Renal disease Asthma
25 The operation Grading system of severity Grade 1 Grade 2 Grade 3 Minor Intermediate Major Grade 4 Major + Neurosurgery Cardiovascular surgery
26 The operation ** OPERATION BINGO **
27 The operation Grading system of severity Total joint replacement Tonsillectomy Total Abdominal Hysterectomy Grade 1 Grade 2 Grade 3 Minor Intermediate Major Excision of skin lesion Drainage of breast abscess Grade 4 Major + Varicose veins excision Neurosurgery Cardiovascular surgery Prostate resection Thyroidectomy Lung operation Hernia repair
28 The operation Grading system of severity Grade 1 Minor Excision of skin lesion, drainage of breast abscess Grade 2 Intermediate Hernia repair, varicose veins excision, tonsillectomy Grade 3 Major Total Abdominal Hysterectomy, prostate resection, thyroidectomy Grade 4 Major + Total joint replacement, lung operation Neurosurgery Cardiovascular surgery
29 Management C epod P ost op care O ptimise D ay of surgery
30 BOOK CEPOD 1. Immediate (Life / limb threatening) 2. Urgent (Acute cases) 3. Expedited (Subacute cases) 4. Elective (Planned) Post op care involve the MDT e.g. ITU/HDU discuss with surgeon and anaesthetist Social care - involve PT/OT etc.
31 OPTIMISE Act on pre-operative investigations DM control first on theatre list VTE control pre and post operative
32 DAY OF THE SURGERY Fasting rules Last eat Last drink Pregnancy test Consent
33 How do you structure pre-op assessment? History PC/PMH/PSH/DH/SH Examination ABCDE Investigation Bedside/bloods/imaging/special tests Management - Optimisation MDT involvement
34 Summary Pre-operative care aims to reduce complications Level of investigation depends on patient and operation Optimise the patient pre-op within the MDT
35 EXAMPLE CASE
36 85yo for TURP Mr Griffin has suffered two "mini-strokes" in the past two years, since which he taken blood thinning tablets. He has never had a heart attack and has had no previous operations. He has smoked twenty cigarettes a day since aged 15. He is a retired shopkeeper. He lives in a warden controlled flat and has meals-on-wheels. He can get around the home with a frame but is limited by his breathing. He states his breathing has been bad for years and he has a cough productive of clear sputum all year round. He states he gets a bad acidic taste when he ties his laces.
37 Examination Tar staining CV : Pulse irregularly irregular HS- I+II+ ES murmur loudest aortic region no radiation to carotid RS : Widespread wheeze Observations BP 125/80 HR 78 RR 14 Sats 91%
38 Rate: 78bpm (60-100bpm) Rhythm: Irregularly irregular Axis: LAD Atrial fibrillation
39 Investigations INR in therapeutic range Type 1 respiratory failure
40 Hyperexpansion Flat diaphragms Bullae
41 Obstructive disease
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