Recommendations and Guidelines for Preoperative Evaluation ...

Recommendations and Guidelines for Preoperative Evaluation of the Surgical Patient with Emphasis on the Cardiac Patient for Non-cardiac Surgery Recommendations and Guidelines For Preoperative Evaluation Of the Surgical Patient With Emphasis on the Cardiac Patient For Non-cardiac Surgery John H. Tinker, Professor and Chair Anesthesiology Department University of Nebraska Medical Center Richard R. Miles, Myrna C. Newland, Associate Professor and Associate Professor Chief, Section of Cardiology Anesthesiology Barbara J. Hurlbert, Professor, Anesthesiology Medical Director, Anesthesia Preoperative Evaluation Unit Barbara J. Sink, MPAS, PA-C. Anesthesia Preoperative Evaluation Unit Kathi M. Healey, , Nurse Practitioner Clinical Director, Lipid Clinic Stephen J. Froscheiser, Computing Support Bill Wassom, Graphic Designer University of Nebraska Medical Center 2006. 1. Preoperative preparation of the patient for non-cardiac surgery may be complex. The variety of presenting conditions may be difficult to define prior to surgery: What tests should be ordered?

Physical Classification of the American Society of Anesthesiologists (ASA) Status Disease State ASA Class 1 No organic, physiologic, biochemical, or psychiatric distur-bance. ASA Class 2 Mild to moderate systemic disturbance that may or may not be related to the reason for surgery Examples: Heart disease that only slightly limits physical

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