There will be many occasions when either a surgeon or a preoperative evaluation professional will recognize significant concerns that may be of concern. In this case, an Anesthesia Consultation may be requested days before surgery.
A consulting anesthesiologist or anesthesia provider with advanced training will evaluate the patient and help determine if there is a significant problem. The anesthesia provider will then decide if more evaluation is necessary but also if there are specific anesthesia techniques that could make the surgery safer.
Some of the medical situations that may require special considerations for surgery would be: a history of a difficult intubation, Jehovah’s Witness requirements, history of malignant hypertension, history of myopathy or pseudo cholinesterase deficiency among many others. The anesthesia provider will evaluate and determine if special techniques are necessary for surgery. In many cases this is important so the anesthesia team is well prepared and there is no delay on the day of surgery.
One most be reminded that the day of surgery the patient will have a repeat evaluation to make sure there has been no change in the medical condition.