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Contents
- Date/Time
- Preoperative Diagnosis
- Procedure planned
- Anaesthesia planned
- Investigations Blood test, CXR, ECG, special scans, films, report, histology report
- Risk Factors - Cardiovascular, pulmonary, hepatic, renal, coagulopathic, nutritional
- Major Medical Problems
- Medications
- Allergies
- ASA risk and anaesthetic review
- Special requirements - Preoperative physiotherapy and incentive
spirometry training, GXM ordered if required (see 11.13),
information brochure for e.g. stoma procedure, renal transplant etc.
- Consent, see 11.1
- Operative site marked, see 14.3
Adrian P. Ireland