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Flashcards in Preoperative assessment Deck (13)
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1
Q

Mallampati score?

A
  1. Uvula is visible
  2. Uvula partially visible
  3. Soft palate is
  4. Soft palate is not visible
2
Q

what is the ideal MET?

A

4

3
Q

what is preoperative assessment?

A

A consultation performed by the anesthetist. Decisions about anaesthetic techinique are made and consent is obtained.

4
Q

Suxamethonium? How does it work?

A

It depolarises all the skeletal muscle cells in the body hence releasing all the potassium?

5
Q

what drugs might we be concerned about prior to surgery?

A

anticoagulant, diabetic medication

6
Q

what do we mean by thyromental distance?

A

if it is more than 7 cm then it is likely that the airway will be fine.

7
Q

how might we measure ejection fraction?

A

TTE

8
Q

PCA?

A

patient controlled analgesia. Patient presses button when in pain and requiring pain relief.

9
Q

Type 1 diabetics management preoperatively?

A

minimise fasting time so surgery should be done earliest.

10
Q

Considerations of dialysis patients prior to operation,

A

Ideally like to dialyse patient just before operation to ensure that they are not fluid overloaded. Potassium levels should be monitored. Patient should arrive at theatre at dry weight

11
Q

How would you reduce the risk of aspiration of gastric content in this patient?

A

Fast them, + preoperative MAXOLON, sleep them with their head propped up. As they sleep, apply pressure on the cricoid to prevent reflux through the oesophagus.

12
Q

what’s a reason why OSA is considered in preoperative assessment?

A

Failure of intubation

13
Q

what are the anaesthetic options for hip joint rehabilitation?

A

spinal, epidural, general