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Evaluating the Patient Before Anesthesia   PENG Shuling Second Affiliated Hospital Sun Yat-sen University
1846 年 10 月 16 日乙醚第一次用于临床麻醉
What is anesthesia?
Anesthesiology definition The management of procedures for rendering a patient insensible to pain and emotional stress during surgical, obstetrical, and certain medical procedures . The support of life functions under the stress of anesthesia and surgical manipulations.
Anesthesiology ,[object Object],[object Object],[object Object],[object Object]
Anesthesiology Classification ,[object Object],[object Object]
Others ,[object Object],[object Object],[object Object]
Anesthesia procedures ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
[object Object],Patient evaluated in PreOp Clinic
Basic effects of anesthesia on the body ,[object Object],[object Object]
 
 
 
The purposes and procedures of the preoperative visit(evaluation) ,[object Object],[object Object],[object Object],[object Object],[object Object]
History.   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The physical examination   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Special investigations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Review of systems.   ,[object Object],[object Object],[object Object],[object Object],[object Object]
ASA Classification ( physical status index ) ,[object Object],[object Object],[object Object],[object Object],[object Object]
Talk with the patient and family ,[object Object],[object Object],[object Object],[object Object],[object Object]
Drugs used for remedication ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ASA guidelines for NPO status preoperatively ,[object Object],[object Object],[object Object],[object Object]
Two broad questions ,[object Object],[object Object]
Common causes for d elaying surgical procedures.   ,[object Object],[object Object],[object Object]
 
 
Active cardiac conditions
 
 
Clinical risk factors
谢谢!

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1 evaluating the patient before the anesthesia(2009.2.23 27)