The delivery of safe Anaesthesia to patients today has developed alongside the increasing complex surgeries and operations that are carried out on patients as and when required, either for pre-planned operations or for acute medical emergency and trauma cases.
Pre-operative meeting and assessment of the patient by an Anaesthetist (Medical Practitioner) ideally weeks before the planned surgery is essential for safe Anaesthesia to be delivered.
Providing an adequate pre-anaesthesia consultation has been identified as an important factor in patient safety. This consultation between medical practitioner and patient is to record and assess the fitness of the patient for operation and to assess which anaesthetic drugs and techniques can be used to compete the operation safely as possible for the patient.
During the process it is important to cover and discuss the following points;
• ensure the patients’ state of health has and will be optimised (stop smoking, lose weight etc.) before the planned operation.
• Plan the anaesthesia procedure including pre and post management.
• Give opportunity for patient to ask questions and ensure there is full understanding of procedures and risks involved.
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Due to the fact he has had general anaesthesia in the past with no issues and that there is no noted family issues with anaesthetics in the past, we are able to rule out any risk of Malignant Hyperthermia associated with the upcoming anaesthetic plan. Physical examination of his mouth-opening and neck movement and a Malampatti score of 3, we are able to record the view that there is an element of easy airway bearing in mind he presents with a full beard for bag masking awareness and big teeth to be mindful of should intubation/laryngoscopy be