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The goal of the preoperative evaluation is to gather relevant patient information to formulate an appropriate anesthetic plan. When time permits, this can be a golden opportunity to arrange additional testing and consultations to optimize the patient prior to surgery (e.g., cardiology, respirology, hematology consultations).

The preoperative assessment provides patients with an opportunity to have their questions answered. This may alleviate anxiety and apprehension about the proposed surgery. On occasion, the patient’s anxiety may warrant a preoperative sedation medication. Patients should be instructed to continue or hold existing medications as discussed previously in this Chapter. Preoperative administration of medications for gastroesophageal reflux disease (GERD) or the administration of foundational analgesics, such as acetaminophen and a NSAID, are discussed in Chapter 4: Premedication.

The Preoperative Assessment Summary Sheet (Fig. 3.2) provides a concise reference summary of the salient information that needs to be gathered during a preoperative assessment.