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IN THE MAIN OPERATING THEATRE
You are scheduled for a surgical procedure, which involves certain prerequisites that must be fulfilled with a view to ensuring that the surgery is performed successfully. One of the most important requirements is a proper assessment of your current state of health, for which purpose a preoperative clinical examination is performed.
If you are in any doubt as to your operation, please contact the Pre-Anaesthetic Assessment Unit: 93 227 47 40
The success of any operation does not only depend on the surgical technique used, but also on the need for the body to respond suitably both to the surgical aggression and to the anaesthetic technique used. As a result, It is evident that having a clear understanding of the situation prior to the operation is the best way of accomplishing this goal. This knowledge is provided by the performance of a rigorous preoperative examination that addresses the following measures, among others:
- Clinical history: targeted questioning to ascertain the patient's general state of health: medical and surgical history (diseases, previous operations). The existence of allergies or abnormal reactions to medication or anaesthetic techniques. Current diseases (diabetes, asthma, etc.). Toxic habits (smoking, drinking, etc...). Regular medication before the procedure. If you or someone in your family has previously presented an abnormal reaction and/or a major complication ascribable to anaesthesia, inform your surgeon and the anaesthesiologist so that you can have a preoperative examination.
- If you have any illness or disease and would like to have more information about it with regard to your surgery, the Patients with medical diseases section explains some important basic concepts about some of the most relevant diseases.
- Self-assessment questionnaire: it includes a set of questions you must answer to elicit the clinical information. You should complete the questionnaire and bring it to the Centre.
- Detailed physical examination of the different body systems or apparatuses: cardiovascular and respiratory examination. Airway examination. Estimate of the patient's functional condition or tolerance to daily physical activity.
- Complementary examinations: examinations designed to provide additional information about the different systems: (ECG: heart) (X-ray/chest: lungs) Blood panel and Rh Group (Anaemia, Infection, Coagulation disorders...).
- More specific tests may be required for major respiratory and/or heart diseases, such as:
- Respiratory functional tests and/or arterial blood gas (Respiratory disease)
- Echocardiography and/or Holter (continuous electrocardiographic recording over 24 h) in heart conditions
- You can have these complementary examinations performed wherever you want to or wherever you are advised to, but you will need to bring them to the pre-operative examination
- Specific indications:
- You should fast before the procedure (at least 6 hours)
- Do not wear cosmetics or nail polish
- Remove any type of denture or removable material (false teeth, contact lenses, hearing aids)
- Do not carry objects of value (leave them at home or store them in the Centre's strong box or safe)
Based on all this, the anaesthesiologist, if necessary in collaboration with another medical specialist, will assess your condition so that you can undergo the surgery with the best possible guarantee of success.
- They will assess your current condition before the operation
- They will establish the risk involved in the operation
- They will correct any alterations you may have
- They will take the necessary measures (adaptation of your regular medication, reserve blood for transfusion, etc.)
In general, both morbidity (the appearance of complications) and perioperative mortality (during and/or after the operation) rest on three main pillars:
- The patient's preoperative medical condition
- The type of surgery
- The management of anaesthesia
Once the general risk has been established, the anaesthesiologist:
- Will inform you of the different anaesthetic techniques available, as well as their respective risks
- Will choose the anaesthetic technique that is best suited to your condition and to the type of scheduled surgery, and will make every effort to observe your wishes in this regard
- Will decide the type of postoperative care you will receive and will prescribe medication that will enable you to go into the operation feeling completely reassured
- Please feel free to bring up any queries you may have about the anaesthesia with the anaesthesiologist, as this will help to increase your confidence in the final outcome of the operation
Your surgeon will refer you to the Pre-Anaesthetic Assessment Unit of the Hospital Universitario Quirón Dexeus for this preoperative examination, once you have both decided to go ahead with the surgery. In the case of emergency surgery, the anaesthesiologist will visit you in the Hospital, where he or she will conduct the same examinations as in the Pre-Anaesthetic Assessment Unit.
After the preoperative examination, the anesthesiologist will give you a document to sign, called the "informed consent", in which you authorise the anaesthetic procedure. You do not need to worry about anything, we will take care of everything. Just remember that all that matters to all the attending physicians is that everything goes off smoothly, that you have a swift and satisfactory recovery and that you are happy with the health care provided.