2010 AAGBI麻醉医师在术前评估以及病人准备中的作用

中文标题：

2010 AAGBI麻醉医师在术前评估以及病人准备中的作用

英文标题：

Pre-operative Assessment and Patient Preparation The Role of the Anaesthetist

发布机构：

大不列颠爱尔兰麻醉学会

发布日期：

2010-01-01

简要介绍：

This guidance has been designed to help anaesthetists provide high quality pre-operative assessment services and patient preparation before surgery. In addition it defines the roles and responsibilities of anaesthetists both after planned and after unplanned admissions.Anaesthetists should assume a central role in the organisation of pre-operative services that encompass much more than preparing the delivery of anaesthesia.The anaesthetist has the skills necessary to assess, optimise and estimate risk and support patients deciding whether to proceed with surgery and anaesthesia.Pre-operative anaesthetic assessment should minimise risk for all patients as well as identify patients at particularly high risk. The pre-operative anaesthetic clinic should co-operate with primary care to achieve these aims.Skilled nurse practitioners are safe and cost-effective in preparing patients for anaesthesia and should work closely with anaesthetists with a special interest in pre-operative assessment and preparation.After scheduled admissions, anaesthetists must confirm that patients have been prepared adequately by pre-operative services so that anaesthesia and surgery can proceed safely.Tests performed before surgery should be limited to those recommended by national and local guidelines and protocols.Most anaesthetic departments should plan for one consultant whole-time equivalent to run and manage daily high-risk clinics with appropriate secretarial support.