1. Preoperative evaluation of the patient
Janusz Andres

2. Questions Describe anesthetic plan ASA physical status scale
Preoperative evaluation
Routine preoperative laboratory evaluation
Physical examination
What is informed consent?
What kind of documentation is required?

3. Questions (2) Describe intraoperative anesthesia record What is PACU?
Why the preoperative and postoperative visits is so important?
Quality of documentation
What are four elements that must be proven by the plaintiff?

4. Main purposes Medical history To choose the anesthestic and care plan
To obtain informed consent
To educate patient
Cost-efficiency?

5. Medical problems Difficult airway Asthma
Insulin-dependent diabetes mellitus
Drug abuse
Heart disease
Monoamine oxidase inhibitors
Pacemakers

6. Medical problems (2) Pacemakers or implantable defibrillators
Peripheral motor neuropathy
Pregnancy
Pulmonary tuberculosis
Renal insufficiency

7. Often asked questions When did you last have anesthesia?
Did you have problems with anesthesia?
Do you have allergies?
Did you have blood test last 6 months?
Did you have x-ray in the last 2 month?
Do you take any medications?
Did you have drinking problems?

8. Main problems Cardiovascular disease Respiratory and airway problems
Hepatic and gastrointestinal disease
Bleeding problems
Renal disease
Endocrine disturbances
Neurologic disease

9. Physical examination Arterial blood pressure Chest auscultation
Movement and neurological disorders
Examinations of legs