Lesson 1Focused history takin: comorbidities, OSA screenin (STOP-Bang), functional status, medication review, fastin statusCover systematic preoperative history wid emphasis pon comorbidities, OSA screenin tools, functional capacity, medication an allergy review, an fastin status, fi identify modifiable risks an guide anesthetic plannin an optimization.
Key comorbidities an prior anesthetic historySTOP-Bang an other OSA screenin toolsAssessin functional capacity an exercise toleranceMedication, allergy, an anticoagulant reviewVerifyn fastin status an aspiration riskLesson 2Diabetes management pre-op: glucose targets, perioperative insulin/oral hypoglycemics guidance, blood glucose testin timinDetail perioperative diabetes optimization, includin pre-op glucose targets, timin an adjustment a insulin an oral agents, hypoglycemia prevention, monitorin schedule, an coordination wid surgical an endocrine teams fi complex cases.
Pre-op glucose targets an rationaleAdjustin basal an bolus insulin regimensManagin oral an non-insulin agentsBlood glucose testin timin an frequencyHypoglycemia recognition an preventionLesson 3Documentation checklist: crucial items fi record fi handover an anesthesia record continuityOutline essential documentation fi safe anesthesia care, includin baseline assessments, risk discussions, consent confirmation, medication an allergy lists, an handover notes dat ensure continuity, traceability, an medico-legal protection.
Core elements a di anesthesia pre-op noteRecordin comorbidities an risk scoresDocumentin medications, allergies, an NPO statusStandardized handover an transfer notesLegal an quality assurance considerationsLesson 4Respiratory an cardiovascular exam: auscultation, signs a heart failure, blood pressure control, peripheral perfusionDescribe focused respiratory an cardiovascular examination, includin inspection, auscultation, signs a heart failure, blood pressure assessment, volume status, an peripheral perfusion, linkin findings to anesthetic risk an optimization.
Respiratory inspection an auscultationIdentifyn wheeze, crackles, an obstructionCardiac auscultation an heart failure signsBlood pressure control an volume assessmentPeripheral perfusion an vascular statusLesson 5Identification a anesthesia-related risks: aspiration, difficult airway, hypoventilation, obstructive apnea, perioperative MI/stroke riskExplore identification a anesthesia-related risks such as aspiration, difficult airway, hypoventilation, OSA events, an perioperative cardiac or neurologic events, integratin clinical findings an risk tools fi guide mitigation strategies.
Assessin aspiration an full-stomach riskPredictin difficult mask an intubationOSA, hypoventilation, an opioid sensitivityEstimatin perioperative MI an stroke riskPlannin risk mitigation strategiesLesson 6ASA physical status classification: criteria, examples, applyin ASA class to dis patient wid obesity, HTN, diabetes, OSAReview ASA physical status classification, criteria fi each class, common clinical examples, an application to patients wid obesity, hypertension, diabetes, an OSA, emphasizin consistency, limitations, an impact pon risk communication.
ASA classes I–VI an E modifierClinical examples fi each ASA classApplyin ASA class to obesity an OSALimitations a ASA as a risk predictorUsin ASA in communication an recordsLesson 7Patient communication an informed consent: explainin plan, fastin, CPAP use, postoperative expectationsFocus pon effective patient communication, shared decision-makin, an informed consent, includin explanation a anesthetic plan, fastin, CPAP use, postoperative pain control, an documentation a understandin an questions addressed.
Structurin di pre-op anesthesia discussionExplainin fastin, medications, an CPAP useDiscussin risks, benefits, an alternativesSettin postoperative expectations an recoveryAssessin understandin an documentin consentLesson 8Airway evaluation: Mallampati, thyromental distance, neck circumference, neck mobility, dentition, prior airway recordsCover structured airway assessment usin Mallampati, thyromental distance, neck mobility, dentition, an prior records, integratin findings into a difficult airway plan an documentation fi enhance perioperative safety.
Mallampati an oropharyngeal assessmentThyromental distance an jaw protrusionNeck circumference an mobility evaluationDentition, prosthetics, an loose teethReviewin prior airway an anesthesia recordsLesson 9Selectin relevant preoperative investigations: labs, ECG, HbA1c, pregnancy test if indicated, CXR indicationsGuide selection a preoperative investigations base pon patient risk an procedure, includin labs, ECG, HbA1c, pregnancy testin, an chest imaghin, avoidin unnecessary tests while ensurin safety an regulatory compliance.
Principles a selective test orderinBaseline labs an renal function testsECG an cardiac testin indicationsHbA1c an diabetes optimization rolePregnancy tests an chest imaghin criteria
