CPD Article

Preanaesthetic assessment and management in the context of the district hospital

Olufemi B. Omole, Michelle Torlutter, Agetta J. Akii
South African Family Practice | Vol 63, No 1 : Part 3| a5357 | DOI: https://doi.org/10.4102/safp.v63i1.5357 | © 2021 Olufemi B. Omole | This work is licensed under CC Attribution 4.0
Submitted: 02 July 2021 | Published: 07 September 2021

About the author(s)

Olufemi B. Omole, Department of Family Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
Michelle Torlutter, Department of Family Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
Agetta J. Akii, Department of Family Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa


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Abstract

Preanaesthetic assessment and management allow for the systematic identification of perioperative risks and the implementation of interventions to mitigate them, such that the patient’s physiological state is optimised for surgery or other procedures. This is a crucial activity for good perioperative outcomes, as patients not assessed are at a higher risk of unanticipated adverse perioperative events and are more likely to receive suboptimal management. The district hospitals in South Africa perform minor and moderately complex surgical procedures that require anaesthesia, administered mostly to healthy patients and those with stable diseases without functional limitations. A significant proportion of anaesthesia-related deaths reported in the district hospitals can be linked to poor risk assessment and management. In this article, we highlight the key clinical imperatives for optimal preanaesthetic assessment and management from the district hospital perspective.

Keywords

Preanaesthetic; assessment; district hospital; review; management

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