An 2Clinical Reasoning

Pre operative Assessment

Assessor

PGY4+

Due

Week 7

Requirement

Choose 1 of An2/3

What Assessors Look For

Systematic pre-op assessment
ASA classification
Identification of anaesthetic risks
Airway assessment
Appropriate fasting status
Medication management

Key Points to Demonstrate

1History: previous anaesthetics, allergies, medications, PMHx, functional status
2Airway: Mallampati, mouth opening, thyromental distance, neck movement, teeth
3ASA: I (healthy), II (mild systemic disease), III (severe), IV (life-threatening), V (moribund)
4Fasting: 6 hours solids, 2 hours clear fluids
5Medications: continue most, hold ACEi/ARB, manage anticoagulation, diabetic meds
6Investigations: based on patient and surgery, not routine

Tips for Success

  • 💡Use the pre-op checklist at your hospital
  • 💡Practice Mallampati assessment - it's quick and easy
  • 💡Know which medications to hold and why

Study Resources