It is important for all patients who are having an anaesthetic for surgery to have some form of preassessment after a booking is made.
Initially this may take the form of a simple health questionnaire which will be given to you by the private hospital. If you have no significant health issues and/or you are having minor surgery, this may be all you will require.
In most cases preassessment clinic nursing staff will see you in person and take a full medical, nursing, medication and social history.
You will have routine observations made which include blood pressure, pulse, temperature, height and weight/body mass index (BMI).
After the assessment you may require further tests, which include...
If you are having major surgery or if you have medical problems, you may be asked to see an anaesthetist in the preassessment clinic as part of your appointment. This is designed to assess your fitness for surgery, make sure your medical conditions are being optimally managed and discuss the options available for your anaesthetic.
Your anaesthetist may sometimes wish to organise additional tests, such as an echocardiogram, which is a type of ultrasound scan assessing the function of the heart.
It may sometimes be necessary to make a referral to another medical specialist, such as a cardiologist, for an opinion on your management.
Abnormal test results, depending on their nature, may require further investigations or a simple repeat of the original test. On occasion it may be necessary to recommend that surgery is deferred, or that you are looked after in a high dependency or intensive care unit following your surgery.
If you have an appointment to see an anaesthetist in the preassessment clinic, this will incur a charge additional to your anaesthetic fee for the surgery itself. If you have private medical insurance, you are recommended to check with your provider beforehand to see if you are covered. In most cases, insurers will cover this fee. If you are a self-paying patient, the cost may be included in the fee charged by the private hospital.
Gloucestershire Anaesthetic Services supports and adheres to the recommendations made on routine pre-operative testing made by the National Institute of Clinical Excellence (NICE)
We also endorse the guidance document published by The Association of Anaesthetists of Great Britain & Ireland Pre-operative Assessment : The Role of the Anaesthetist