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Anaesthesia: Pre-Anaesthetic Assessment and Early Recovery

Know what information the anaesthetic team needs, how to follow fasting instructions and what to expect during early recovery.

Anaesthesiology · 8 min read

Published · Updated

Editorial note: This article was prepared for this website from the sources listed below. Unless a named clinical reviewer is shown, it has not been attributed to or clinically reviewed by an individual KPMC clinician.

The assessment reduces avoidable risk

The anaesthetic team reviews the planned procedure, health conditions, previous anaesthetic experiences, allergies, medicines, airway and functional health. Mention sleep apnoea, loose teeth, reflux, pregnancy possibility, recent illness, smoking, alcohol or other substances, and any family history of serious anaesthetic reactions.

Follow individual fasting and medicine advice

Fasting instructions vary with the procedure and patient. Follow the times given by your team and ask if they are unclear. Confirm what to do with blood thinners, diabetes medicines, blood pressure medicines, supplements and inhalers. Do not assume that every regular medicine should be omitted.

The anaesthetist discusses suitable options and important risks. The final plan may change for safety after reassessment on the day. Ask questions and report any new fever, cough, chest symptoms or other significant change.

Plan for recovery before arrival

After anaesthesia or sedation, temporary nausea, sore throat, dizziness or drowsiness can occur. Monitoring continues until discharge criteria are met. Arrange transport and responsible supervision when instructed, follow restrictions on driving and decisions, and use only the agreed pain and nausea medicines.

At a glance

Key takeaways

  • Give a complete health, medicine, allergy and anaesthetic history.
  • Use only the fasting and medicine instructions for your procedure.
  • Plan transport, supervision and activity restrictions before discharge.

When to seek care

  • Tell the team before the procedure about a new significant illness or inability to follow fasting instructions.
  • After discharge, seek emergency care for severe breathing difficulty, chest pain, collapse, uncontrolled bleeding, new severe confusion or rapidly worsening symptoms.

General information only. This article does not replace medical advice, diagnosis or treatment. If symptoms are severe or rapidly worsening, seek urgent medical care. In Malaysia, call 999 for an emergency or go to the nearest emergency department.

Source notes

Article sources

  1. NICE NG45: Routine preoperative tests for elective surgery
  2. NHS: General anaesthetic

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