Minimal Sedation (Anxiolysis) – a drug-induced (produced) state during which patients respond normally to oral commands. Although mental function and coordination may be impaired, respiratory (breathing) and cardiovascular (blood pressure, pulse) functions are unaffected.
Moderate Sedation [Conscious (Awake) Sedation] – a drug-generated depression of consciousness during which patients respond purposefully to oral commands, either alone or accompanied by light touch stimulation. No assistance are required to maintain breathing. Cardiovascular function is usually maintained.
The ultimate goals of preoperative medical examination are to reduce the patient’s surgical and anesthetic complications during and after the procedure and to return him to desirable functioning as quickly as possible. It is essential to realize that operative and post-surgery risk is multifactorial. A history and physical examination, focusing on risk factors for cardiac and lungs complications are essential to any preoperative evaluation.
Laboratory investigations are ordered only when indicated by the patient’s medical status, drug treatment, or the nature of the proposed procedure and not on a routine basis.
It is well recognized that safe and efficient anesthesia practice requires an optimized patient.
The following primary goals of preoperative evaluation and preparation have been identified.
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