Pre-anesthetic Interview/Testing
You've met with your surgeon, gotten a second opinion if desired, and are now scheduled to have the operation. The next appointment will likely be scheduled the week before surgery for preoperative learning and possibly some testing. This is your chance to ask questions about preparing for the surgery and to discuss any special needs you might have. It is important that you are an active partner in your care and wellness.
A nurse or an anesthesia provider may do the pre-anesthetic interview. The goal of the interview is to identify potential risks to you before you are given anesthesia and to discuss the type of anesthetic you'll receive. A history and physical will be completed. Testing may be requested [blood testing, chest X-ray, electrocardiogram, respiratory testing] depending on your age and physical condition. In some cases as indicated by your overall health and the type of surgery no testing may be needed.
It's very important to share information about your medical history. Bring a list of all medications and current dosages you're taking. This list should include prescription and nonprescription medications as well as herbal or vitamin supplements. Be honest about any use of street drugs, which can react dangerously with some anesthesia drugs. If you have a history of heart or lung trouble, your regular cardiologist or internist may be asked to give a medical recommendation regarding your health before the anesthesia is given. The goal is for your health to be at its best before you are given anesthesia.
If you take medications regularly, you should be told which medicines to take before surgery. This information should be provided to you in writing to prevent any confusion. If you are diabetic, you will need special dosing instructions on your insulin or oral medications in preparation for the surgery.
At the end of this appointment you should feel confident about how to prepare for the day of surgery, know what to generally expect when you arrive at the facility for the procedure, and have an understanding of what physical things you will do before returning home. In some cases you may discuss your anesthesia and surgical preparation by a telephone call instead of a visit to the facility.
Printed with permission from the American Society of Perianesthesia Nurses, 2002.
