Evaluation by Anesthesia Provider
The anesthesia evaluation is one of the more important aspects of your entire surgical experience. It will help determine if you are ready for your surgery or if there are any problems that need to be resolved. While you are being prepared for surgery by nursing personnel you will likely receive a visit from the anesthesiologist and a certified registered nurse anesthetist (CRNA). Depending on where you go for your surgery the anesthesia service may be an anesthesia team which includes anesthesiologists, CRNAs or Anesthesia Assistants. In other centers, it could be only anesthesiologists or only CRNAs. This is why we will call them Anesthesia Providers to keep it simple. In todays’ world of anesthesia all providers are usually board certified in their specialty.
What Happens During an Anesthesia Evaluation?
Medical History Review
The anesthesia provider will review your:
- Past surgeries and any problems with anesthesia
- Medical conditions (heart, lungs, diabetes, sleep apnea, etc.)
- Allergies
- Current medications and supplements
- Lifestyle factors (smoking, alcohol use, recreational drug use)
This helps identify any risks that could affect anesthesia or recovery.
Physical Assessment
This often includes:
- Listening to your heart and lungs
- Checking airway structure (important for breathing during anesthesia)
- Reviewing vital signs
- Evaluating any conditions that might affect anesthesia (e.g., neck mobility, obesity, dental issues)
Review of Lab Tests or Clearances
They may look at:
- Blood tests
- EKG results
- Imaging
- Specialist clearances (cardiac, pulmonary, etc.)
These results help confirm you are medically safe for the procedure.
Discussion of Anesthesia Options
Your provider will explain:
- What type of anesthesia is recommended (general, regional, local, sedation)
- What you will experience before, during, and after
- Pain management options
- Possible risks and how they are managed
- What to expect during recovery
This is your chance to ask questions and share any concerns.
Why the Anesthesia Evaluation Matters
The evaluation allows the anesthesia team to:
- Customize your anesthesia plan
- Reduce risks and complications
- Improve comfort and safety
- Ensure you have a smooth recovery
It is an essential part of modern surgical care.
Questions for Anesthesia Evaluation
After the anesthesia evaluation, the anesthesiologist and/or CRNA will discuss the appropriate anesthetic for your situation. This choice is dependent on many factors such as the surgery to be performed, your medical condition or age. The key here is to give you an anesthetic that keeps you safe and comfortable during the surgery. There are also anesthetic considerations that make the surgeon’s work easier. You will also hear about pain management techniques that would make your recovery easier post operatively.
Essential Questions to Ask at Anesthesia Evaluation
This is the perfect time to ask your anesthesia provider how your anesthesia will be given. You can let them know if you have concerns and what they are. Ask them to tell you about a general anesthetic, a MAC anesthetic or a regional anesthetic. Don’t be afraid to ask questions during this part of the anesthesia evaluation.
1. Questions About Your Anesthesia Plan
- What type of anesthesia will I receive? (general, regional, local, or sedation)
- Why is this type recommended for my procedure?
- Who will be administering and monitoring my anesthesia?
- How will you manage my breathing during the procedure?
2. Questions About Safety and Risks
- What are the potential risks or side effects associated with this anesthesia?
- How will you minimize complications based on my medical history?
- Do I have any risk factors that could affect anesthesia or recovery?
- Have you reviewed my allergies, medications, and previous anesthesia experience?
3. Questions About Preparation
- When should I stop eating and drinking before surgery?
- Which medications should I take—or avoid—on the day of surgery?
- Do I need additional testing or clearance before anesthesia?
- Should I adjust my medications for blood pressure, diabetes, or blood thinners?
4. Questions About the Procedure Itself
- What will I experience as I go to sleep and as I wake up?
- How long will the anesthesia last?
- Will I remember anything during the procedure?
- How will you manage pain during and after surgery?
5. Questions About Recovery
- How soon will I be able to eat, drink, or walk afterward?
- What side effects should I watch for once I go home?
- Who should I contact if I experience nausea, pain, or complications?
- Is it safe for me to drive, make decisions, or sign legal documents after anesthesia?
6. Questions About Personal Concerns
- How will my sleep apnea, heart condition, asthma, or other health issue affect anesthesia?
- I’m anxious—are there options to help me relax beforehand?
- Are there alternatives to the planned anesthesia type?
