Hypermetabolic Syndrome

PREOPERATIVE medical evaluation of the dental patient

Author:

Altaf Malik HM

Department of Oral and Maxillofacial

Govt. Dental College, Srinagar.

Co-authors:

Dr. Ajaz Shah A

Associate Professor and Director,

Department of Oral and Maxillofacial

Govt. Dental College, Srinagar.

 

Dr. Suhail Latoo

Speaker

Department of Oral Pathology and Microbiology,

Govt. Dental College, Srinagar.

Dr. Manzoor Ahmad Malik

J & K Health Services, SDH Banipora

 

Dr. Rubeena Tabasum

Resident

CD Hospital, Srinagar.

Dr. Shazia Qadir

Department of Oral and Maxillofacial

Govt. Dental College, Srinagar.

INTRODUCTION

 

Knowledge about the patient's medical condition is of paramount importance in patient management and care of pre and post surgery. A detailed history medial give the practitioner all the necessary. Relevant information concerning the patient's general condition and physical condition

System physical status classification

In 1962, the American Society of Anesthesiologist classification system adopted the ASA physical. This system identifies the medical risk to a patient undergoing surgery. The classification system is as follows:

ASA I: a patient without systemic disease, a normal, healthy patient

ASA II: A patient with mild systemic disease

ASA III: a patient with sever systemic disease that limits activity but is not incapacitating

ASA IV: A patient with incapacitating systemic disease that is a constant threat to life

ASA V: moribund patient not expected to survive 24 hours with or without surgery.

ASA E: emergency operation of any kind, E above the number of ASA, indicating the patient's physical condition.

Heart disease.

Although all types of heart disease are at high risk of serious complications during surgery under general anesthesia, some conditions such as unstable angina, congestive heart failure, valvular septal defects, and increase the risk of myocardial infarction four folds. A history of bypass, angioplasty or valve replacement is of significant importance. Although cardiac disease is not an absolute importance. Although heart disease is not an absolute indication-cons, the surgeon must weigh the benefits and risks before deciding on the choice of anesthesia.

Preoperative Investigations

1. 1. See the routine chest radiograph posterior.
2. 2. Electrocardiogram
3. Echocardiography

Stress Test 4

1. Investigation of blood as the lipid profile and bleeding time, clotting time and prothrombin time and the index where the patient is under long-term anticoagulant

Preoperative drugs

If the patient is a case of rheumatic heart disease or having undergone a valve replacement, appropriate antibiotic prophylaxis should be given. If the patient is on penidura infusion every three weeks, the transaction should take place immediately after the dose for reducing the risk of infective endocarditis. Patients on long-term anticoagulant treatment must stop at least 4 to 5 days before surgery anticoagulation with the consent of the physician. If discontinuation of oral anticoagulation n.