Alanzi Ahmed, Ghazzal Samar, Abduljawad Sara, Ghuloom Ameera, Fouad Amir, Adeel Shahid
Anesthesia and Critical Care, King Hamad University Hospital, Muharraq, BHR.
General Practice, Arabian Gulf University, Manama, BHR.
Cureus. 2023 Sep 30;15(9):e46250. doi: 10.7759/cureus.46250. eCollection 2023 Sep.
The preoperative assessment of patients undergoing surgery, often conducted in pre-anesthesia clinics, plays an important role in ensuring patient safety and optimizing perioperative outcomes. This assessment aids in identifying underlying medical conditions that might otherwise remain asymptomatic until they manifest as complications during or after surgery. Through these two case reports, the importance of pre-anesthesia assessment is highlighted. The first case involves a 67-year-old male whose surgery for lymph node excision was planned. However, during the preoperative assessment, atrial fibrillation and pulmonary hypertension were identified, necessitating further intervention and treatment adjustments before surgery. In the second case, an eight-year-old child with a history of vomiting and abdominal pain planned for tonsillectomy was discovered to have congenital hypothyroidism through a vigilant preoperative evaluation. Timely intervention and consultation with an endocrinologist ensured a safe surgery without complications. These cases emphasize the role of preoperative cardiovascular assessment, the utility of electrocardiograms (ECGs), and the relevance of routine laboratory tests in reducing perioperative mortality. Hence, pre-anesthesia assessments are not mere routine steps; they are essential components of patient care that significantly impact perioperative results.
通常在麻醉前门诊进行的手术患者术前评估，在确保患者安全和优化围手术期结果方面发挥着重要作用。这种评估有助于识别潜在的疾病状况，这些疾病状况在手术期间或之后表现为并发症之前可能一直没有症状。通过这两个病例报告，突出了麻醉前评估的重要性。第一个病例是一名67岁男性，计划进行淋巴结切除手术。然而，在术前评估期间，发现了心房颤动和肺动脉高压，这使得在手术前需要进一步干预和调整治疗方案。在第二个病例中，一名有呕吐和腹痛病史、计划进行扁桃体切除术的8岁儿童，通过细致的术前评估发现患有先天性甲状腺功能减退症。及时干预并咨询内分泌科医生确保了手术安全且无并发症。这些病例强调了术前心血管评估的作用、心电图（ECG）的效用以及常规实验室检查在降低围手术期死亡率方面的相关性。因此，麻醉前评估并非仅仅是常规步骤；它们是患者护理的重要组成部分，对围手术期结果有重大影响。
