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Preoperative Preparation
| Introduction |
| The history and physical as done by the anesthesiologist is primarily focused on the airway, cardiovascular and pulmonary systems. However, significant problems in other organ systems are also scrutinized. For example, has a patient ever had a general anesthetic and were there any problems? Is the patient allergic to any medications or is the that patient currently taking any mediations? Family history is important for identifying patients with atypical pseudocholinesterase management. Malignant hyperthermia is transferred as an autosomal dominant trait so it is very important question to ask a patient about relatives who might have had high fever after an anesthetic. |
| Also of significant importance is evaluation of the airway. A significant proportion of anesthesia-related risk involves airway managment, and attention to it pre-operatively will help avoid unanticipated difficulties. |
| In the discussion that folllows, let us concentrate primarily on airway assessment, cardiovascular and pulmonary systems. |
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