著者

横山 和子

出版者

日本医科大学医学会

雑誌

日本医科大学雑誌 (ISSN:00480444)

巻号頁・発行日

vol.45, no.4, pp.223-228, 1978-08-15 (Released:2010-10-14)

参考文献数

15

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This review of clinical preanesthetic assessment of surgical patient was designed to help not only the anesthesiologist but also all medical colleagues.Today, many kinds of assessment technique for all organ are available, but often neglected. The present papar is a discussion of some of practical point which should be done as a preanestheticassessment of respiratory, cardiac, liver and kidney functions.Practical points of preanestheticevaluation are includ:(1) family history, past history and present history.(2) physical examination.(3) laboratory tests.Laboratory test should include:(1) blood: type, WR, WBC, RBC, Hb, Hct, Platlet, bleeding time, clotting time and HBantigen and antibody.(2) urine: urine volume/day, SG, protein and glucose.(3) blood chemistry: serum glucose, TP, A/G, BUN, Na, K, Cl, SGOT, SGPT, LDH, BSP, Al-P and CPK.(4) lung function test: VC, VT, FEV1 RR and blood gas if necessary.(5) chest X-ray.(6) ECG.It should be emphasized that a precise assessment of all organ function is not alway possiblebecause of the uncertainties of intra-anesthetic management as a result of unanticipated surgicalproblems that may adversely affect all organ functions.