Preoperative anesthetic assessment

Emily L. Wang, Jeffrey Lu

Research output: Chapter in Book/Report/Conference proceedingChapter


Preoperative assessment: provides an evaluation of the patient’s anesthetic risk for the proposed procedure, and allows recommendations to be made that help maximize patient safety. The anesthetic risk evaluation is based on the knowledge of the patient and the surgery. The goals of a preoperative assessment include a history and physical examination (including airway evaluation, medication usage, and past anesthetic and surgical experiences), control of comorbidities and perioperative diseases, laboratory and cardiac testing as indicated, anesthetic risk assessment, anesthetic plan formulation, and patient education and informed consent. Significant abnormalities detected by the patient’s history, physical exam, and associate risk factors may necessitate further testing and evaluation if it will affect the patient’s treatment, management, or outcomes.

Original languageEnglish (US)
Title of host publicationEssential Clinical Anesthesia Review
Subtitle of host publicationKeywords, Questions and Answers for the Boards
PublisherCambridge University Press
Number of pages5
ISBN (Electronic)9781139584005
ISBN (Print)9781107681309
StatePublished - Jan 1 2015


  • ACC/AHA Guidelines on Perioperative Cardiovascular Evaluation and Care for Noncardiac Surgery
  • ASA NPO Guidelines for Fasting
  • ASA Physical Status Classification System
  • Active cardiac conditions
  • Airway and anesthetic history
  • Allergies
  • Cardiovascular system evaluation
  • Classification of cardiac risk for noncardiac surgery
  • Clinical risk factors
  • Diabetes mellitus
  • Family history evaluation
  • Functional capacity
  • Gastrointestinal reflux
  • Hepatic conditions
  • Hypertension: Perioperative management
  • Medications
  • Neurologic conditions
  • Percutaneous coronary intervention
  • Perioperative β-blockade
  • Physical exam
  • Pregnancy
  • Preoperative assessment
  • Preoperative laboratory testing
  • Pulmonary system evaluation
  • Renal conditions
  • Social history

ASJC Scopus subject areas

  • Medicine(all)


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