Definition of perioperative

1. Tufail Ahmad Demonstrator surgical
BS SURGICAL (GOLD MEDALLIST)
MPH
Training Scientist in Fundamental of biosafety and biosecurity
The Agha University Karachi, Pakistan

2.  Definition of HEALTH CARE
 efforts made to maintain or restore physical, mental, or emotional well-being
especially by trained and licensed professionals

3.  Period of the time that constitute the surgical experience, include
Pre-operative .
Intra- operative.
Post – operative
Pre-operative care and management:- it is the preparation and management of a
patient prior to surgery.
It includes both physical and psychological preparation

4.  Intraoperative care is patient care during an operation and ancillary to that
operation.
 Activities such as monitoring the patient's vital signs, blood oxygenation levels,
fluid therapy, medication transfusion, anesthesia, radiography, and retrieving
samples for laboratory tests, are examples of intraoperative care.
 Postoperative care begins at the end of the operation and continues in the
recovery room and throughout the hospitalization and outpatient period

5.  A-In pt. surgery : pt. expected to remain in the hospital fore more
than 24 hrs.
 B-0ut pt. surgery : ambulatory surgery –same day surgery pt. return to his home
in the same day of surgery.
 A-optional : at the request of pt. as cosmetic surgery .
 B-Elective : planned the convenience of pt. as removal of cyst

6.  d-Urgent : required promptly within 24-48 hrs as malignant tumor
 E-Emergency : Immediately for survival as intestinal obstruction
appendectomy

7.  Grade I (Minor) Excision of a skin lesion or drainage of abscess.
 Grade II (Intermediate)Tonsillectomy, correction of nasal septum,
arthroscopy…….
 Grade III (Major) Thyroidectomy, total abdominal hysterectomy
 Grade IV (Major+) Radical neck dissection, joint replacement, lung operations

8.  1 =A normal healthy patient
 The pathological process for which surgery is to be performed is localized and does
not entail a systemic disease.
 Example: An otherwise healthy patient scheduled for a cosmetic procedure.

9.  2 =A patient with a mild systemic disease
 A patient with systemic disease, caused either by the condition to be treated or
other pathophysiological process, but which does not
result in limitation of activity.
 Example: a patient with asthma, diabetes, or hypertension that is well controlled
with medical therapy, and has no systemic sequelae.

10.  3 = A patient with a severe systemic disease that limits activity, but is not
incapacitating
 A patient with moderate or severe systemic disease caused either by the condition
to be treated surgically or other pathophysiological
processes, which does limit activity.
 Example: a patient with uncontrolled asthma that limits activity, or diabetes that
has systemic sequelae such as retinopathy

11.  4 =A patient with an incapacitating systemic disease that is
a constant threat to life
 A patient with severe systemic disease that is a constant potential threat to life.
 Example: a patient with heart failure, or a patient with renal failure requiring
dialysis.

12.  5 =A moribund patient not expected to survive 24 hours with or without operation
 A patient who is at substantial risk of death within 24 hours, and is submitted to
the procedure in desperation.
 Example: a patient with fixed and dilated pupils status post a head injury.