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from Section 3 - Passing the Gas
Published online by Cambridge University Press: 09 June 2025
The anaesthetic care of the patient can only be planned after a thorough assessment, together with the results of relevant investigations, and precise knowledge of the proposed surgery. Where possible the patient and their relatives should be involved in any decision making process. The key question is this: Is the patient is as well as they can be made prior to surgery?
The process involves triaging patients, assessing risks (both in terms of surgical and patient factors), optimizing the patient and their medication and planning the anaesthetic technique and their postoperative care. Some patients will require referral to high-risk anaesthetic clinic. Numerous investigations (both basic and advanced) are available to assist in these processes and it is important that these are used appropriately and not routinely. In addition some patients are offered specific therapy such as prehabilitation, intravenous iron, attend joint clinic, assistance with drug and alcohol modification, or other surgery prior to the planned surgery.
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