Preoperative assessments

As a physician with expertise in pulmonology, Dr Mothilal can assist with preoperative screening and assessments to ensure safety during and after surgery. He can assess both pre-existing conditions and undiagnosed illnesses that pose a risk for surgery with thorough investigations. By knowing the patient's health status and existing conditions, Dr Mothilal can assist in optimising treatment and preparing you for anticipated surgery, ensuring you are medically stable and fit for anaesthesia and surgery

Patients with lung disease who are undergoing elective cardiothoracic or noncardiothoracic surgery should have a preoperative pulmonary examination. Preoperative pulmonary examinations may help with the care of patients who are being considered for urgent surgery in specific cases. Postoperative pulmonary complications (PPCs) are common and linked to significant morbidity and death and prolonged hospital admissions. The most significant aspects of preoperative risk assessment are a complete history and physical examination. Exercise intolerance, unexplained dyspnoea, or cough should be considered if a history of undiagnosed chronic lung disease or heart failure.

Individuals receiving elective noncardiothoracic surgery can predict perioperative pulmonary problems more accurately than patients undergoing elective cardiothoracic surgery. Few effective surgical complications prevention techniques exist. Only incentive spirometry and continuous positive airway pressure are beneficial. Prior to surgery, it is critical to identify individuals at risk for developing PPCs and aggressively manage their underlying modifiable risk factors.

The objective of preoperative assessments include:

  • Calculate the risk of pulmonary problems in the elderly
  • Make a list of some of the essential pulmonary risk factors for the elderly
  • Preoperatively, a list of pulmonary testing is required
  • Describe the many complications in the elderly
  • Describe the current methods for improving lung function in the elderly

Pulmonary complication risk factors include:

  • Chronic obstructive pulmonary disease (COPD)
  • Dyspnoea
  • Exercise intolerance
  • Smoking
  • Poor health
  • Heart failure
  • Sleep apnoea
  • Pulmonary hypertension
  • Abnormal chest exam
  • Certain surgeries
  • Age
  • Asthma
  • Pneumonia
  • Ventilation
  • Respiratory failure
  • Bronchospasm
  • Atelectasis

Schedule an appointment

Christiaan Barnard Memorial Hospital

Suite 1613, 16th floor, Netcare Christiaan Barnard Memorial Hospital, Cnr DF Malan Street and Rua Bartholemeu Dias Plain, Foreshore, Cape Town, 8001