Pbl 1 preop assesment

History, examination and relevant investigations

[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object]

History ,[object Object],[object Object],[object Object],[object Object],[object Object]

Systemmic Review ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object]

ASA Classification ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Other Points to Consider Other than the ASA Classification ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

APACHE II ("Acute Physiology and Chronic Health Evaluation II") ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Age Points <44 0 45-54 2 55-64 3 65-74 5 >75 6 History of severe organ insufficiency Points Non-operative patients 5 Emergency postoperative patients 5 Elective postoperative patients 2

Before Requesting Investigations ,[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],Clotting screen 1 Clinical evidence of liver disease including a history of hepatitis. 2 Bleeding disorder. 3 Anticoagulants.

Biochemistry ,[object Object],[object Object]

[object Object],[object Object],[object Object]

Preoperative Chest X Ray ,[object Object],[object Object],[object Object]

ECG ,[object Object],[object Object],[object Object]

Difficult Airway ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Hyomental Distance – 3 finger breadths Thyrohyoid distance – 2 finger breadths

Six standards in the evaluation of airway ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Mallampatti Classification ,[object Object],[object Object],[object Object],[object Object],[object Object]

LEMON airway assessment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Direct Laryngoscopy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Indicators of difficult intubation ,[object Object],[object Object],[object Object],[object Object],[object Object]

Preoperative Fasting Guidelines

Preoperative fasting guidelines ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Ingested Material Minimum Fasting Period Clear liquids 2hrs Breast Milk 4hrs Infant Formula 6hrs Non-human milk 6hrs Light meal 6hrs

Pbl 1 preop assesment

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