Triage, Systemic Disease, and Optimisation Flashcards Preview

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Flashcards in Triage, Systemic Disease, and Optimisation Deck (6)
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1

Purpose of Triage

Deciding the urgency of the surgery

2

Purpose of ASA grading

To predict the patients mortality risk post op based on baseline preop

3

Purpose of Optimisation

Balance between proceeding with surgery and patients mortality risk post surgery

4

The triage score: urgency of surgery

RED: Absolute emergency—requires theatre immediately
ORANGE: Surgery within 2 hours
YELLOW: Surgery within 6 hours
GREEN: Surgery within 24 hours
BLUE: Elective surgery

5

The ASA grading: baseline status

A normal healthy patient
A patient with mild systemic disease and no functional limitations
A patient with moderate to severe systemic disease that results in some functional limitation, but not incapacitating
A patient with severe systemic disease that is a constant threat to life and incapacitating
A moribund patient that is not expected to live for more than 24 hours with or without the surgery
A brain-dead patient whose organs are being harvested

6

Major comorbidities in anaesthesia

CVS
Hypertension
Ischaemic Heart Disease
Cardiac Failure
Valvular Heart Disease

RESPIRATORY
Asthma
COPD
Infectious diseases

RENAL

ENDOCRINE:
DM
Thyroid disease
obesity