STUDY OF EVALUATION OF ROLE OF DETAILED PREANAESTHETIC ASSESMENT ON OUTCOME OF PLASTIC SURGERY

Dr. Sarmila Guha (Banerjee), Dr.Ujjwal Bandyopadhyay, Dr. Kallol Banerjee

Abstract


Preanaesthetic evaluation of a patient involves the assessment of information from the multiple sources, including medical records, patient interview, physical examination and findings from preoperative investigation. For plastic surgical procedure, preoperative assessment of  anticipated difficult airway, co morbid medical condition of the patient    helps us to formulate the plan of anaesthesia and conduct anaesthesia with pertinent information..Thus a detailed pre anaesthetic assessment may improves the outcome of a difficult plastic surgical procedure.

AIM:-An observational study of evaluation of pertinent 1) medical records 2) patient interview 3) physical examination of the patient admitted in plastic surgery ward waiting for reconstructive surgery in a Medical College of west Bengal. This study  focussed on benefits of preoperative evaluation that extends from perioperative care, optimal resource utilisation to improved outcome and patient satisfaction.

METHOD:-- The study conducted  over a period of 6 month and included  200 patient aged 18-70 yrs of American Society of Anaesthesiologists( ASA) physical status I – III, some having comorbidities admitted in plastic surgery ward waiting for surgery.

RESULT:--- After preanaesthetic assessment the outcome of the patient after surgery varies depending on the type of surgery, anaesthesia, comorbidities of the patient and management in postoperative period.

Keywords


Preanaesthetic evaluation, Plastic surgery, Difficult airway.

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