Lesson 1Focused history taking: comorbidities, OSA screening (STOP-Bang), functional status, medication review, fasting statusDis lesson cover how to take systematic preoperative history, we go stress on comorbidities, tools for screening OSA like STOP-Bang, checking functional capacity, reviewing medications and allergies, and fasting status, so to find risks we fit change and plan anesthesia well.
Key comorbidities and prior anesthetic historySTOP-Bang and other OSA screening toolsAssessing functional capacity and exercise toleranceMedication, allergy, and anticoagulant reviewVerifying fasting status and aspiration riskLesson 2Diabetes management pre-op: glucose targets, perioperative insulin/oral hypoglycemics guidance, blood glucose testing timingDis lesson detail how to optimize diabetes around operation time, including glucose targets before op, timing and changing insulin and oral medicines, preventing low sugar, monitoring schedule, and working with surgical and endocrine teams for hard cases.
Pre-op glucose targets and rationaleAdjusting basal and bolus insulin regimensManaging oral and non-insulin agentsBlood glucose testing timing and frequencyHypoglycemia recognition and preventionLesson 3Documentation checklist: crucial items to record for handover and anesthesia record continuityDis lesson outline important documentation for safe anesthesia care, including baseline assessments, risk talks, consent check, lists of medications and allergies, and handover notes dat ensure continuity, traceability, and protection for medico-legal matters.
Core elements of the anesthesia pre-op noteRecording comorbidities and risk scoresDocumenting medications, allergies, and NPO statusStandardized handover and transfer notesLegal and quality assurance considerationsLesson 4Respiratory and cardiovascular exam: auscultation, signs of heart failure, blood pressure control, peripheral perfusionDis lesson describe focused exam for respiratory and cardiovascular system, including looking, listening with stethoscope, signs of heart failure, checking blood pressure, volume status, and peripheral perfusion, linking findings to anesthesia risk and optimization.
Respiratory inspection and auscultationIdentifying wheeze, crackles, and obstructionCardiac auscultation and heart failure signsBlood pressure control and volume assessmentPeripheral perfusion and vascular statusLesson 5Identification of anesthesia-related risks: aspiration, difficult airway, hypoventilation, obstructive apnea, perioperative MI/stroke riskDis lesson explore how to identify risks related to anesthesia like aspiration, difficult airway, hypoventilation, OSA events, and heart or brain events around operation, combining clinical findings and risk tools to guide ways to reduce dem.
Assessing aspiration and full-stomach riskPredicting difficult mask and intubationOSA, hypoventilation, and opioid sensitivityEstimating perioperative MI and stroke riskPlanning risk mitigation strategiesLesson 6ASA physical status classification: criteria, examples, applying ASA class to this patient with obesity, HTN, diabetes, OSADis lesson review ASA physical status classification, criteria for each class, common examples from clinic, and how to apply to patients with obesity, high blood pressure, diabetes, and OSA, stressing consistency, limits, and effect on risk talk.
ASA classes I–VI and E modifierClinical examples for each ASA classApplying ASA class to obesity and OSALimitations of ASA as a risk predictorUsing ASA in communication and recordsLesson 7Patient communication and informed consent: explaining plan, fasting, CPAP use, postoperative expectationsDis lesson focus on good patient communication, shared decision-making, and informed consent, including explaining anesthesia plan, fasting, CPAP use, postoperative pain control, and noting understanding and questions answered.
Structuring the pre-op anesthesia discussionExplaining fasting, medications, and CPAP useDiscussing risks, benefits, and alternativesSetting postoperative expectations and recoveryAssessing understanding and documenting consentLesson 8Airway evaluation: Mallampati, thyromental distance, neck circumference, neck mobility, dentition, prior airway recordsDis lesson cover structured assessment of airway using Mallampati, thyromental distance, neck mobility, teeth condition, and past records, putting findings into difficult airway plan and documentation to improve safety around operation.
Mallampati and oropharyngeal assessmentThyromental distance and jaw protrusionNeck circumference and mobility evaluationDentition, prosthetics, and loose teethReviewing prior airway and anesthesia recordsLesson 9Selecting relevant preoperative investigations: labs, ECG, HbA1c, pregnancy test if indicated, CXR indicationsDis lesson guide how to choose preoperative investigations based on patient risk and procedure, including labs, ECG, HbA1c, pregnancy test, and chest x-ray, avoiding unnecessary tests but ensuring safety and following rules.
Principles of selective test orderingBaseline labs and renal function testsECG and cardiac testing indicationsHbA1c and diabetes optimization rolePregnancy tests and chest imaging criteria
