What are the considerations for this type of surgery and what tests need to be done prior to surgery?
Mr George Pocock, aged 63 years, is admitted for a liver resection. He had been well up until presenting to hospital one month ago. His haemoglobin is 111 mmol/L.
What will be an ideal response?
Answer:
This type of surgery may have significant blood loss and the anaesthetic team must take into consideration the following:
baseline physiological state
current and past medical and surgical history
family history
social history e.g. smoking, alcohol, illicit drugs
the planned procedure
drug sensitivities or allergies
current medications, including herbal dietary supplements
past anaesthetic experience and psychological make-up
ASA score
airway assessment to anticipate difficulties with the airway
tests including group and hold, haemoglobin, full blood count and urea electrolytes and creatine JW, liver function and coagulation.
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