SlideShare a Scribd company logo
Tips on using my ppt.
1. You can freely download, edit, modify and put your
name etc.
2. Don’t be concerned about number of slides. Half the
slides are blanks except for the title.
3. First show the blank slides (eg. Aetiology ) > Ask
students what they already know about ethology of
today's topic. > Then show next slide which enumerates
aetiologies.
4. At the end rerun the show – show blank> ask questions >
show next slide.
5. This will be an ACTIVE LEARNING SESSION x
three revisions.
6. Good for self study also.
7. See notes for bibliography.
Preoperative preparation
Preoperative preparation
• outpatient office visit to hospital inpatient
consultation to the emergency department
evaluation of a patient.
• depending on the nature of the complaint
and proposed surgical intervention,
ROUTINE PREOPERATIVE
PREPARATION FOR SURGERY
ROUTINE PREOPERATIVE
PREPARATION FOR SURGERY
• History
• Physical examination
• Special investigation
• Optimization
• Informed consent
• Marking the site/side of operation
• Antibiotic prophylaxis
• Shaving
• Bowel preparation
PREOPERATIVE EVALUATION
•
PREOPERATIVE EVALUATION
• Aim : not to screen broadly for
undiagnosed disease but rather to identify
and quantify comorbidity that may impact
operative outcome.
•
PAST Hx
H/O DM, TB, HTN Bronchial Asthma, MI HIV
Any previous operation.or bleeding tendency
Any previous reaction to anaesthetic agent
DRUGS Hx
Interaction with anesthesia
Drugs for HTN ,IHD to be cont.over preoperative period
Anticoagulant drugs (aspirin, warfarin)
•Personal history
Smoking
Alcohol
Occupation
Diet
Family History
HTN, DM , TB, ALLERGIC DISORDER , CA , etc
PHYSICAL EXAMINATION
PHYSICAL EXAMINATION
• PALLOR PULSE
• ICTERUS B.P.
• CYANOSIS BMI
• JVP
• CLUBBING
• P.EDEMA
SYSTEMIC EXAMINATION
SYSTEMIC EXAMINATION
Cardiovascular
■ Pulse, blood pressure, heart sounds, bruits, peripheral
pulses, peripheral oedema
Respiratory
■ Respiratory rate and effort, chest expansion and
percussion note, breath sounds, oxygen saturation
Gastrointestinal
■ Abdominal masses, ascites, bowel sounds, bruits, herniae,
genitalia
Neurological
■ Conscious level, any pre-existing cognitive impairment or
confusion, deafness, neurological status of limbs
INVESTIGATIONS
INVESTIGATIONS
• CBC Grouping,
• S.Creatinine,S.Electrolyte
• RBS/HbA1c
• HbsAg
• HIV
• Urinalysis.
• Xray Chest
• ECG Echo TMT Angiography
• LFT,Clotting screen
• TSH
Optimization
Optimization
Control
• Hypertension
• Diabetes mellitus
• Thyroid function
• Ascites , coagulation abnormalities
• Renal function Hemodialysis
• Angioplasty
• Adrenal insufficiency
• Respiratory exercises
Optimization
Pheochromocytoma
• controlled by a combination of a-
adrenergic and ß-adrenergic blockade
Preop. Instructions
Preop. Instructions
• NPO
• Enema
• Shaving -NO
• Start DVT prophylaxis
• Bath
• Arrange blood for transfusion
• Predeposit
Patient on Medications
Continue-
• Antithyroid,
• Eltroxin,
• Antihypertensives,
• Digoxin,
• Beta blocker
• Antipsychotic
Patient on Medications
Stop
• Omit morning dose of antidiabetic
• Warfarin
Patient on Medications
Clopidogrel+ Aspirin ?
• Stop if intracranial or post. chamber of eye
operation
Informed consent
Antibiotic prophylaxis
• Clean surgery –Single shot at the time of
induction repeat if more than 3hours.
Marking the site/side of operation
PREOPERATIVE CHECKLIST
Get this ppt in mobile
1. Download Microsoft
PowerPoint from play
store.
2. Open Google assistant
3. Open Google lens.
4. Scan qr code from
next slide.
Get this ppt in mobile
Get my ppt collection
• https://www.slideshare.net/drpradeeppande/
edit_my_uploads
• https://www.dropbox.com/sh/x600md3cvj8
5woy/AACVMHuQtvHvl_K8ehc3ltkEa?dl
=0
• https://www.facebook.com/doctorpradeeppa
nde/?ref=pages_you_manage

More Related Content

What's hot

Anesthesia.routine preoperative investigations+ fasting guidlines.(dr.amer)
Anesthesia.routine preoperative investigations+ fasting guidlines.(dr.amer)Anesthesia.routine preoperative investigations+ fasting guidlines.(dr.amer)
Anesthesia.routine preoperative investigations+ fasting guidlines.(dr.amer)
student
 
Difficult airway
Difficult airwayDifficult airway
Difficult airway
imran80
 
Anesthesia outside the operating room
Anesthesia outside the operating roomAnesthesia outside the operating room
Anesthesia outside the operating room
Sumit Prajapati
 

What's hot (20)

Preanesthetic Assessment
Preanesthetic AssessmentPreanesthetic Assessment
Preanesthetic Assessment
 
Anesthesia.routine preoperative investigations+ fasting guidlines.(dr.amer)
Anesthesia.routine preoperative investigations+ fasting guidlines.(dr.amer)Anesthesia.routine preoperative investigations+ fasting guidlines.(dr.amer)
Anesthesia.routine preoperative investigations+ fasting guidlines.(dr.amer)
 
LAYNGEAL MASK AIRWAY
LAYNGEAL MASK AIRWAYLAYNGEAL MASK AIRWAY
LAYNGEAL MASK AIRWAY
 
Airway
AirwayAirway
Airway
 
Pre anaesthetic evaluation.pdfx
Pre anaesthetic evaluation.pdfxPre anaesthetic evaluation.pdfx
Pre anaesthetic evaluation.pdfx
 
Preoperative evaluation
Preoperative evaluationPreoperative evaluation
Preoperative evaluation
 
Difficult airway
Difficult airwayDifficult airway
Difficult airway
 
PAC - Pre Anaesthetic Checkup
PAC - Pre Anaesthetic CheckupPAC - Pre Anaesthetic Checkup
PAC - Pre Anaesthetic Checkup
 
SPINAL ANAESTHESIA
SPINAL ANAESTHESIASPINAL ANAESTHESIA
SPINAL ANAESTHESIA
 
preanasthetic evaluation
preanasthetic evaluationpreanasthetic evaluation
preanasthetic evaluation
 
post operative cognitive dysfunction
post operative cognitive dysfunctionpost operative cognitive dysfunction
post operative cognitive dysfunction
 
Vaporizers
Vaporizers Vaporizers
Vaporizers
 
Monitoring in anaesthesia by stanley ogochukwu okerulu
Monitoring in anaesthesia by stanley ogochukwu okeruluMonitoring in anaesthesia by stanley ogochukwu okerulu
Monitoring in anaesthesia by stanley ogochukwu okerulu
 
Monitoring Modality in anesthesia
Monitoring Modality  in anesthesiaMonitoring Modality  in anesthesia
Monitoring Modality in anesthesia
 
supraglottic airway devices
supraglottic airway devicessupraglottic airway devices
supraglottic airway devices
 
Physical examination : Mallampati score as an independent predictor of obstru...
Physical examination : Mallampati score as an independent predictor of obstru...Physical examination : Mallampati score as an independent predictor of obstru...
Physical examination : Mallampati score as an independent predictor of obstru...
 
Monitoring in anaesthesia ro
Monitoring in anaesthesia roMonitoring in anaesthesia ro
Monitoring in anaesthesia ro
 
Anesthesia outside the operating room
Anesthesia outside the operating roomAnesthesia outside the operating room
Anesthesia outside the operating room
 
Airway assessment
Airway assessmentAirway assessment
Airway assessment
 
Principles of Anesthesia
Principles of AnesthesiaPrinciples of Anesthesia
Principles of Anesthesia
 

Similar to Preoperative preparation.pptx

Small bowel obstruction cases - Julie Cornish
Small bowel obstruction cases - Julie CornishSmall bowel obstruction cases - Julie Cornish
Small bowel obstruction cases - Julie Cornish
welshbarbers
 
Trauma Management and early assessment in
Trauma Management and early assessment inTrauma Management and early assessment in
Trauma Management and early assessment in
ManishTaneja21
 

Similar to Preoperative preparation.pptx (20)

Perforated peptic ulcer.pptx
Perforated peptic ulcer.pptxPerforated peptic ulcer.pptx
Perforated peptic ulcer.pptx
 
Renal calculi (LENOVOPC,S).pptx
Renal calculi (LENOVOPC,S).pptxRenal calculi (LENOVOPC,S).pptx
Renal calculi (LENOVOPC,S).pptx
 
Lower GI hemorrhage.pptx
Lower GI hemorrhage.pptxLower GI hemorrhage.pptx
Lower GI hemorrhage.pptx
 
introduction to General surgery.pptx
introduction to General surgery.pptxintroduction to General surgery.pptx
introduction to General surgery.pptx
 
perioperative surgery, lecture, 1.pdf
perioperative surgery, lecture, 1.pdfperioperative surgery, lecture, 1.pdf
perioperative surgery, lecture, 1.pdf
 
Surgery revision
Surgery revisionSurgery revision
Surgery revision
 
Congenital anomalies of bile duct.pptx
Congenital anomalies of bile duct.pptxCongenital anomalies of bile duct.pptx
Congenital anomalies of bile duct.pptx
 
1 Initial Assessment.pptx
1 Initial Assessment.pptx1 Initial Assessment.pptx
1 Initial Assessment.pptx
 
Approach to history taking
Approach to history takingApproach to history taking
Approach to history taking
 
Preanesthesia evaluation (pac)
Preanesthesia evaluation (pac)Preanesthesia evaluation (pac)
Preanesthesia evaluation (pac)
 
GERD Reflux Oesophagitis.pptx
GERD Reflux Oesophagitis.pptxGERD Reflux Oesophagitis.pptx
GERD Reflux Oesophagitis.pptx
 
Preoperative Preparations
Preoperative PreparationsPreoperative Preparations
Preoperative Preparations
 
Mass in right hypochondrium.pptx
Mass in right hypochondrium.pptxMass in right hypochondrium.pptx
Mass in right hypochondrium.pptx
 
Mass in right hypochondrium.pptx
Mass in right hypochondrium.pptxMass in right hypochondrium.pptx
Mass in right hypochondrium.pptx
 
Retention of urine.pptx
Retention of urine.pptxRetention of urine.pptx
Retention of urine.pptx
 
Intussusception incomplete.pptx
Intussusception incomplete.pptxIntussusception incomplete.pptx
Intussusception incomplete.pptx
 
Rolling and sliding hiatal hernia.pptx
Rolling and sliding hiatal hernia.pptxRolling and sliding hiatal hernia.pptx
Rolling and sliding hiatal hernia.pptx
 
Small bowel obstruction cases - Julie Cornish
Small bowel obstruction cases - Julie CornishSmall bowel obstruction cases - Julie Cornish
Small bowel obstruction cases - Julie Cornish
 
Trauma Management and early assessment in
Trauma Management and early assessment inTrauma Management and early assessment in
Trauma Management and early assessment in
 
Preop assessment and operation theatre protocols.pptx
Preop assessment and operation theatre protocols.pptxPreop assessment and operation theatre protocols.pptx
Preop assessment and operation theatre protocols.pptx
 

More from Pradeep Pande

More from Pradeep Pande (20)

ANDI Benign breast diseases Fiboadenoma
ANDI  Benign breast diseases FiboadenomaANDI  Benign breast diseases Fiboadenoma
ANDI Benign breast diseases Fiboadenoma
 
SU7.2 Priciples and steps of clinical research in Surgery.pptx
SU7.2 Priciples and steps of clinical research in Surgery.pptxSU7.2 Priciples and steps of clinical research in Surgery.pptx
SU7.2 Priciples and steps of clinical research in Surgery.pptx
 
Chrons Disease MCQ Multiple choice questions.pptx
Chrons Disease MCQ Multiple choice questions.pptxChrons Disease MCQ Multiple choice questions.pptx
Chrons Disease MCQ Multiple choice questions.pptx
 
SU 27.1 Breast Anatomy Physiology with MCQs.pptx
SU 27.1 Breast Anatomy Physiology with MCQs.pptxSU 27.1 Breast Anatomy Physiology with MCQs.pptx
SU 27.1 Breast Anatomy Physiology with MCQs.pptx
 
Hindi Training HCWs for infection Control.pptx
Hindi Training HCWs for infection Control.pptxHindi Training HCWs for infection Control.pptx
Hindi Training HCWs for infection Control.pptx
 
Training HCWs for infection Control.pptx
Training HCWs for infection Control.pptxTraining HCWs for infection Control.pptx
Training HCWs for infection Control.pptx
 
Benign Tumors of Small Intestine.pptx
Benign Tumors of Small Intestine.pptxBenign Tumors of Small Intestine.pptx
Benign Tumors of Small Intestine.pptx
 
Mesenteric ischemia.pptx
Mesenteric    ischemia.pptxMesenteric    ischemia.pptx
Mesenteric ischemia.pptx
 
MCQs small bowel tumour.pptx
MCQs small bowel tumour.pptxMCQs small bowel tumour.pptx
MCQs small bowel tumour.pptx
 
MCQs small bowel carcinoma.pptx
MCQs small bowel carcinoma.pptxMCQs small bowel carcinoma.pptx
MCQs small bowel carcinoma.pptx
 
MCQs mesentric ischaemia.pptx
MCQs mesentric ischaemia.pptxMCQs mesentric ischaemia.pptx
MCQs mesentric ischaemia.pptx
 
MCQs mesenteric venous thrombosis.pptx
MCQs mesenteric venous thrombosis.pptxMCQs mesenteric venous thrombosis.pptx
MCQs mesenteric venous thrombosis.pptx
 
MCQs Mesenteric vascular occlusion.pptx
MCQs Mesenteric vascular occlusion.pptxMCQs Mesenteric vascular occlusion.pptx
MCQs Mesenteric vascular occlusion.pptx
 
MCQs mesenteric ischemia2.pptx
MCQs mesenteric ischemia2.pptxMCQs mesenteric ischemia2.pptx
MCQs mesenteric ischemia2.pptx
 
MCQs Hirschsprungs disease.pptx
MCQs Hirschsprungs disease.pptxMCQs Hirschsprungs disease.pptx
MCQs Hirschsprungs disease.pptx
 
MCQs Gastrojejunocolic fistula.pptx
MCQs Gastrojejunocolic fistula.pptxMCQs Gastrojejunocolic fistula.pptx
MCQs Gastrojejunocolic fistula.pptx
 
MCQs gastrointestinal fistula.pptx
MCQs gastrointestinal fistula.pptxMCQs gastrointestinal fistula.pptx
MCQs gastrointestinal fistula.pptx
 
MCQs Gastrocolic fistula.pptx
MCQs Gastrocolic fistula.pptxMCQs Gastrocolic fistula.pptx
MCQs Gastrocolic fistula.pptx
 
Thyroid Anatomy, Pysiology, Development MCQ.pptx
Thyroid Anatomy, Pysiology, Development MCQ.pptxThyroid Anatomy, Pysiology, Development MCQ.pptx
Thyroid Anatomy, Pysiology, Development MCQ.pptx
 
Splenic rupture MCQ.pptx
Splenic rupture MCQ.pptxSplenic rupture MCQ.pptx
Splenic rupture MCQ.pptx
 

Recently uploaded

Recently uploaded (20)

Factors Affecting child behavior in Pediatric Dentistry
Factors Affecting child behavior in Pediatric DentistryFactors Affecting child behavior in Pediatric Dentistry
Factors Affecting child behavior in Pediatric Dentistry
 
Cardiovascular Physiology - Regulation of Cardiac Pumping
Cardiovascular Physiology - Regulation of Cardiac PumpingCardiovascular Physiology - Regulation of Cardiac Pumping
Cardiovascular Physiology - Regulation of Cardiac Pumping
 
MALE REPRODUCTIVE TOXICITY STUDIES(Toxicokinetics).pptx
MALE REPRODUCTIVE TOXICITY STUDIES(Toxicokinetics).pptxMALE REPRODUCTIVE TOXICITY STUDIES(Toxicokinetics).pptx
MALE REPRODUCTIVE TOXICITY STUDIES(Toxicokinetics).pptx
 
In-service education (Nursing Mangement)
In-service education (Nursing Mangement)In-service education (Nursing Mangement)
In-service education (Nursing Mangement)
 
"Central Hypertension"‚ in China: Towards the nation-wide use of SphygmoCor t...
"Central Hypertension"‚ in China: Towards the nation-wide use of SphygmoCor t..."Central Hypertension"‚ in China: Towards the nation-wide use of SphygmoCor t...
"Central Hypertension"‚ in China: Towards the nation-wide use of SphygmoCor t...
 
DIGITAL RADIOGRAPHY-SABBU KHATOON .pptx
DIGITAL RADIOGRAPHY-SABBU KHATOON  .pptxDIGITAL RADIOGRAPHY-SABBU KHATOON  .pptx
DIGITAL RADIOGRAPHY-SABBU KHATOON .pptx
 
Scleroderma: Treatment Options and a Look to the Future - Dr. Macklin
Scleroderma: Treatment Options and a Look to the Future - Dr. MacklinScleroderma: Treatment Options and a Look to the Future - Dr. Macklin
Scleroderma: Treatment Options and a Look to the Future - Dr. Macklin
 
Final CAPNOCYTOPHAGA INFECTION by Gauri Gawande.pptx
Final CAPNOCYTOPHAGA INFECTION by Gauri Gawande.pptxFinal CAPNOCYTOPHAGA INFECTION by Gauri Gawande.pptx
Final CAPNOCYTOPHAGA INFECTION by Gauri Gawande.pptx
 
Non-Invasive assessment of arterial stiffness in advanced heart failure patie...
Non-Invasive assessment of arterial stiffness in advanced heart failure patie...Non-Invasive assessment of arterial stiffness in advanced heart failure patie...
Non-Invasive assessment of arterial stiffness in advanced heart failure patie...
 
Prix Galien International 2024 Forum Program
Prix Galien International 2024 Forum ProgramPrix Galien International 2024 Forum Program
Prix Galien International 2024 Forum Program
 
End Feel -joint end feel - Normal and Abnormal end feel
End Feel -joint end feel - Normal and Abnormal end feelEnd Feel -joint end feel - Normal and Abnormal end feel
End Feel -joint end feel - Normal and Abnormal end feel
 
DECIPHERING COMMON ECG FINDINGS IN ED.pptx
DECIPHERING COMMON ECG FINDINGS IN ED.pptxDECIPHERING COMMON ECG FINDINGS IN ED.pptx
DECIPHERING COMMON ECG FINDINGS IN ED.pptx
 
Compare home pulse pressure components collected directly from home
Compare home pulse pressure components collected directly from homeCompare home pulse pressure components collected directly from home
Compare home pulse pressure components collected directly from home
 
Vaccines: A Powerful and Cost-Effective Tool Protecting Americans Against Dis...
Vaccines: A Powerful and Cost-Effective Tool Protecting Americans Against Dis...Vaccines: A Powerful and Cost-Effective Tool Protecting Americans Against Dis...
Vaccines: A Powerful and Cost-Effective Tool Protecting Americans Against Dis...
 
Impact of cancers therapies on the loss in cardiac function, myocardial fffic...
Impact of cancers therapies on the loss in cardiac function, myocardial fffic...Impact of cancers therapies on the loss in cardiac function, myocardial fffic...
Impact of cancers therapies on the loss in cardiac function, myocardial fffic...
 
Is preeclampsia and spontaneous preterm delivery associate with vascular and ...
Is preeclampsia and spontaneous preterm delivery associate with vascular and ...Is preeclampsia and spontaneous preterm delivery associate with vascular and ...
Is preeclampsia and spontaneous preterm delivery associate with vascular and ...
 
𝕔ALL #𝕘IRLS Service in Jaipur %(8901183002)# Jaipur #𝕔ALL #𝕘IRLS
𝕔ALL #𝕘IRLS Service in Jaipur %(8901183002)#  Jaipur #𝕔ALL #𝕘IRLS𝕔ALL #𝕘IRLS Service in Jaipur %(8901183002)#  Jaipur #𝕔ALL #𝕘IRLS
𝕔ALL #𝕘IRLS Service in Jaipur %(8901183002)# Jaipur #𝕔ALL #𝕘IRLS
 
Cervical screening – taking care of your health flipchart (Vietnamese)
Cervical screening – taking care of your health flipchart (Vietnamese)Cervical screening – taking care of your health flipchart (Vietnamese)
Cervical screening – taking care of your health flipchart (Vietnamese)
 
Book Trailer: PGMEE in a Nutshell (CEE MD/MS PG Entrance Examination)
Book Trailer: PGMEE in a Nutshell (CEE MD/MS PG Entrance Examination)Book Trailer: PGMEE in a Nutshell (CEE MD/MS PG Entrance Examination)
Book Trailer: PGMEE in a Nutshell (CEE MD/MS PG Entrance Examination)
 
Aptopadesha Pramana / Pariksha: The Verbal Testimony
Aptopadesha Pramana / Pariksha: The Verbal TestimonyAptopadesha Pramana / Pariksha: The Verbal Testimony
Aptopadesha Pramana / Pariksha: The Verbal Testimony
 

Preoperative preparation.pptx

Editor's Notes

  1. drpradeeppande@gmail.com 7697305442