Pre-op Patient Assessment

NPO

FoodTime
Clear liquids2 hours (peds: until surgery)
Breast milk3 hours
Infant formula4 hours
Light meal6 hours (peds: solid meal)
Normal diet8 hours
  • Light meal: toast and clear liquids
  • Normal diet: anything with fat content

Airway Exam

  • Face
    • Beard? Trauma? Excess tissue?
  • Mouth
    • Mouth opening
    • Mallampati
    • Dentition
    • Lower jaw subluxation
  • Neck
    • Thyromental distance
    • Neck mobility (extension, flexion)

ASA CRITERIA:

  • ASA 1: normal healthy patient

  • ASA 2: mild systemic disease

  • ASA 3: severe systemic disease

  • ASA 4: severe systemic disease that is a constant threat to life

  • ASA 5: Moribund patient, not expected to survive without the operation

  • ASA 6: Declared Brain Dead

  • E: Emergent modifier can be added to any classification

    • (Example: young healthy male after RTA → ASA 1E)

LABORATORY TESTS:

  • Hgb/CBC: Lavender (EDTA) 2 mL
  • BMP: Light Green PST (Lithium Heparin with gel) 4.5 mL / (Red top accepted but not preferred)
  • PT/INR: Light Blue Top (Sodium Citrate) 2.7 mL
  • Group & Cross-match: Lavender (EDTA) 2 mL / (Red top accepted but not preferred)
  • ABG: Heparinized ABG syringe (Must fill to 1 mL for appropriate results)