Preoperative Physical Evaluations

Almost all patients scheduled for surgery need to undergo a preoperative physical exam by a medical doctor, such as a family medicine physician. This exam ensures that the patient is fit to handle the stresses of the operation. Additionally, pre-surgical evaluations allow the physician to order necessary tests to gather critical health information relevant to the surgery.

You don't need to be a regular patient of Dr. Katayoun Motlagh to receive a preoperative evaluation from her. For example, if you require a preop physical exam but your regular doctor isn't available before your scheduled surgery, Dr. Motlagh can assist in providing the necessary evaluation in a timely manner.

This ensures that your health is thoroughly assessed, and you can proceed with your surgery safely.

Purpose of a Preoperative Evaluation

A preoperative evaluation is performed to ensure that a patient is medically fit to undergo surgery. Here are the key reasons for conducting this important assessment:

Health Risk Assessment: To identify and evaluate any medical conditions or risk factors that could complicate the surgery or recovery process.
Optimal Surgical Planning: To help the surgical team plan the procedure effectively, considering any health issues that might affect the approach or anesthesia.
Baseline Health Data: To establish a baseline of the patient's health metrics, which can be used to monitor changes during and after the surgery.
Minimize Complications: To reduce the risk of complications by addressing any potential health concerns before the surgery.
Clearance for Surgery: To provide medical clearance, ensuring that the patient is in a stable condition to proceed with the surgical procedure.
Patient Education: To inform the patient about what to expect during and after surgery, including recovery tips and potential risks.

Performing a thorough preoperative evaluation helps ensure patient safety and improves surgical outcomes.

What Does a Preoperative Physical Exam Entail?

Medical History Review:
- Detailed discussion about your overall health, past medical conditions, surgeries, medications, allergies, and family health history.
Vital Signs Check:
- Measurement of blood pressure, heart rate, respiratory rate, and temperature to ensure they are within normal ranges.
Physical Examination:
- Comprehensive check of your body, including the heart, lungs, abdomen, and other vital organs, to identify any potential issues.
Laboratory Tests:
- Blood tests and urine tests to check for anemia, infection, blood sugar levels, kidney function, and other relevant health indicators.
Imaging Studies:
- Depending on your medical history and the type of surgery, X-rays, ECG (electrocardiogram), or other imaging studies may be ordered to get a clearer picture of your health.
Assessment of Risk Factors:
- Evaluation of any risk factors such as smoking, obesity, or chronic illnesses that could affect surgery or recovery.
Preoperative Instructions:
- Detailed guidance on what to do (or avoid) before surgery, such as fasting requirements, medication adjustments, and activity restrictions.
Consultations:
- Referrals to specialists, if necessary, for further evaluation or clearance, such as cardiologists for heart conditions or endocrinologists for diabetes management.

When Is a Preoperative Evaluation Required?

A preoperative evaluation is necessary in the following situations:

Scheduled Surgery: Whenever a patient is scheduled for any type of surgical procedure, to assess fitness for surgery and anesthesia.

Existing Medical Conditions: For patients with chronic illnesses such as heart disease, diabetes, or respiratory issues, to evaluate their stability and manage any risks.