Preoperative assessment

Question 1

Mallampati score?

Answer 1

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

Question 2

what is the ideal MET?

Answer 2

4

Question 3

what is preoperative assessment?

Answer 3

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

Question 4

Suxamethonium? How does it work?

Answer 4

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

Question 5

what drugs might we be concerned about prior to surgery?

Answer 5

anticoagulant, diabetic medication

Question 6

what do we mean by thyromental distance?

Answer 6

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

Question 7

how might we measure ejection fraction?

Answer 7

TTE

Question 8

PCA?

Answer 8

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

Question 9

Type 1 diabetics management preoperatively?

Answer 9

minimise fasting time so surgery should be done earliest.

Question 10

Considerations of dialysis patients prior to operation,

Answer 10

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

Question 11

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

Answer 11

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.

Question 12

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

Answer 12

Failure of intubation

Question 13

what are the anaesthetic options for hip joint rehabilitation?

Answer 13

spinal, epidural, general