For DoctorsMohamed Rahman2021-03-04T21:47:26+11:00

For Doctors.

The best medical care available.

Pre-Anaesthetic Consultation (PAC)

A Pre-anaesthetic Consultation is required for the below conditions to ensure:

Patients state of health has been optimised
Preperation of an appropriate peri-operative management plan has be

**Please note a patient with the below condition/s booked for a procedure without a PAC, will be cancelled on the day of procedure to ensure patient safety.

BMI Issues:

BMI > 40 or

>100kg
Diabetes:
- On Tables or
- Insulin
History of:

Stroke or Blood Clots

Heart Problems? – Including heart attack, angina, arrhythmias, pacemaker/defibrillator

Any Breathing problems? – asthma, emphysema, respiratory exertion? What Medications & how often taken?

Sleep apnoea or use CPAP machine?

Any Anaesthetic problems in the past?

Any restrictions to receiving treatment? i.e. not able to have Blood Transfusions? Or some other limitations?

Any infection that requires special treatment? – (Swine flu, etc)

Current Virus or Infection? – (wound, MRSA, VRE, Chicken Pox, TB, Measles, Hepatitis , HIV)
Medications
- Aspirin – (No need to stop)
- Nexium – (Cease 5 days prior but if unable to stop inform on the day)
- Iron – (Cease 5 days prior)
- Plavix, Iscovar, Clopidogrel, Coplavix, Xeralto, Prasegrel, Pradexa, Warfarin & asasantin (book consult with proceduralist)
- Taking more than 4 medications – Prescription & non Prescription

**Exclusion Criteria

There are a number of exclusion criteria to ensure we continue to provide a safe and high quality of patient care. Please see below key areas where patients are not suitable for a procedure at TEC:

Age: <15 years of age

to be referred to the Childrens Hospital
BMI> 40

MUST have a Pre-Anaesthetic Consultation (PAC)
15 but <18;

to be referred to the Proceduralist for consideration
BMI> 50;
- to be referred to Public Hospital
Weight >150 Kgs;
- to be referred to Public Hospital
Non-ambulant
- to be referred to Public Hospital
Non-self-caring;
- to be referred to Public Hospital

Services Provided

Consultations
- Gastroenterology
- Surgical
Endoscopies
- Gastroscopy
- Colonoscopy
- Capsule Endoscopy
General Surgery
- Pilonidal sinus
- Ischiorectal abscess
- Vasectomy
- Ingrown toenail
- SCC/BCC with split skin graft
- SCC/BCC with postauricular graft
- Incision and drainage of abscesses
- Excision of lump and bumps under anaesthesia
NOTE: patient will require a consultation prior to booking for a surgical procedure to assess suitability

RESOURCES

REFERRAL LETTER (PDF)

NEED REFERRAL PADS?
Request them here:

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