Talk:Preanesthetic assessment

Wiki Education assignment: 2024-25 TCOM WikiMed Period 21

This article is currently the subject of a Wiki Education Foundation-supported course assignment, between 3 March 2025 and 28 March 2025. Further details are available on the course page. Student editor(s): CliniGuide (article contribs).

— Assignment last updated by CliniGuide (talk) 18:58, 4 March 2025 (UTC)

Evaluation and Consideration for Improvement - Feedback welcomed!

The article presents relevant and up-to-date information; however, it is somewhat wordy and could be more concise for improved readability. While the content is generally accessible, it may benefit from clearer language to ensure comprehension by a broader audience. Additionally, the article could be strengthened by including key considerations for anesthesia providers, such as the timing of a patient’s last dose of GLP-1 inhibitors or anticoagulants, which are critical factors in perioperative management.

Equity gaps are not addressed, though the brevity of the article limits its capacity to explore such issues in depth. No significant bias or non-neutral tone is detected. As a stub-class article, there is little basis to evaluate whether particular viewpoints are overrepresented or underrepresented.

A major concern is the reliability of the sources, as the majority of citation links are non-functional. While the author appears to have made an effort to include a diverse range of sources, the lack of accessible references weakens the article’s credibility. Furthermore, the talk page remains empty, indicating a lack of discussion or collaborative input.

The article is classified as a stub with mid-level importance and falls under the scope of the Medicine WikiProject. In our class discussions, we emphasized the importance of presenting information in a clear and easily digestible manner. This article, however, could be improved in terms of readability and clarity to better serve the general public.

CliniGuide (talk) 15:47, 5 March 2025 (UTC)

Proposed Work Plan

Objective: Create an informative resource that reassures patients about the preanesthetic assessment, helping them understand its role in ensuring a safe and successful surgical experience. This guide will explain what anesthesia providers evaluate during the assessment and why each factor is critical for patient safety.

An Outline of General Headings and possible sub-topics:

Locations for preanesthetic assessments

• Immediately pre-operative
• Preoperative clinics

Patient Chart Review

• Pacemaker, issues with bleeding or clotting
• Females have a higher chance of PONV

Patient Interview

• Help address anxiety
• Extra safety net to confirm surgical plan
  • Regional vs general?
• Physical exam
  • physical limitations
  • Airway evaluation
  • Lung and evaluation
  • Jewelry
• Prior Anesthesia experiences
  • Trouble putting down a breathing tube?
  • Excessive PONV?
• Medications most recently taken
  • Type DM and need to take insulin
• Most frequent patient-caused reasons surgeries are cancelled or delayed
  • NPO status
  • Anticoagulants (Blood thinners)
  • GLP-1 inhibitors
  • SGLT2 inhibitors
  • Jehova’s Witness and does not want blood transfusions
  • Herbal medications
  • Monoamine oxidase-B inhibtors (Rasagliline, selegiline) may need to be held for 2 weeks before surgery (
  • Epilepsey drugs are often held before a surgery with exceptions

Labs and Tests

• Low platelets may need platelety transfusion
• A heart history may need a 12-lead EKG
• Electrolytes such as potassium may need to be raised or lowered
• Pregnancy testing
• Blood type testing

Anesthesia consent

• What a consent form usually addresses

CliniGuide (talk) 17:59, 6 March 2025 (UTC)