How anesthesia evaluations are done

Anesthesia evaluation is an assessment of the surgical patient made by the anesthesiologist based on the patient’s medical history, auxiliary examination, physical examination, and the patient’s mental state. 1. Medical history: the patient is mainly asked about his/her current medical history, personal history, past history, allergy history, anesthesia history, smoking history, drinking history, etc. The patient is also asked about his/her medical history. 2. Auxiliary examination: including routine blood test, liver function, kidney function, electrolytes, coagulation function, hepatitis B and syphilis, etc., as well as electrocardiogram, chest CT, etc. In addition, special examinations for surgical diseases, such as thyroid function, head and neck CT, abdominal CT, lung function, cardiac ultrasound, etc.. 3. Physical examination: for tracheal intubation under general anesthesia, it is necessary to check whether the patient’s teeth are missing or loose, the size of mouth opening, whether there is a small jaw, the mobility of the neck, and the auscultation of both lungs. For intrathecal anesthesia, attention should be paid to whether there is spinal pressure pain, whether there is lumbar pain and lower extremity radiating pain. 4. Mental state: pay attention to whether the patient is in a state of agitation, anxiety, fear, whether the consciousness is clear, whether the patient can communicate normally, and whether the patient is in a state of weakness and lack of nutrition. A complete anesthesia evaluation helps to formulate the most suitable anesthesia and management plan for the patient, which can effectively reduce the risks arising from anesthesia and surgery. This is done by a specialized physician.