Pre Operative Testing Research Paper

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The relevance of pre-operative assessment cannot be overstated when it comes to the clearance of patients for elective surgeries – particularly in the further enhancement of both patient safety and care. The article, Pre-Operative Assessment and Post-Operative Care in Elective Shoulder Surgery, by Akhtar, MacFarlane, and Waseem comes in handy in not only the elaboration of “pre-operative assessment in elective orthopedic surgery and shoulder surgery,” but also in the review of “the essentials of peri- and post-operative care” (p. 316). From the onset, the authors point out that pre-operative assessment helps in not only the enhancement of patient safety, but also in the aversion of complications arising from surgical procedures deemed inappropriate. As a nurse practitioner student in a pre-surgical testing unit, I did assess a patient who was to undergo a shoulder surgery. The patient, referred to herein as Patient X, was a young healthy adult. Akhtar, MacFarlane, and Waseem point out that as far as pre-operative assessment is concerned, “detailed history and clinical examination must be conducted, and additional tests and investigations be requested which are specific to the needs of an individual” (p. 321). The authors back up their assertion with the relevant evidence. In my case, it was no different. In my assessment of Patient X, who was to undergo a shoulder surgery due to an injury sustained during a sporting event, I did conduct the relevant clinical examinations and investigations.

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One of the most important points to be noted with regard to a patient’s history is if they have any conditions that could impact upon the planned surgery adversely. Regarding Patient X, I focused on whether he had any undesirable reactions to agents to be used in the forthcoming surgery and related care thereafter. I also reviewed his surgical history and made an enquiry on whether he was on any medications. It is important to note that some medications, i.e. some anti-inflammatory drugs such as Naproxen and Ibuprofen, could increase bleeding at the time of surgery. An inventory of the patient’s lifestyle, specifically with regard to their drinking patterns and smoking history, was taken. In the words of Akhtar, MacFarlane, and Waseem, taking a patient’s smoking history is of great relevance given that “smokers are difficult to anaesthetize”, while alcohol documentation is important “as induction of liver enzymes by alcohol may shorten the action of anesthetic drugs…” (p. 316).

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