Chris Chiu and Kevin Consevage delve into the intricacies of pre-operative assessment, emphasizing its role as a risk mitigation strategy rather than surgical clearance. This episode offers a comprehensive breakdown of assessing surgery types, patient functionality, and the necessary pre-op evaluations and medications.

[00:00:00 ] Introduction to Everyday Medicine and episode objectives.

[00:00:32 ] Kevin's introduction and background.

[00:01:06 ] Discussion on the philosophy behind pre-op assessment.

[00:01:34 ] Breaking down the steps of pre-op assessment: surgery type, patient's functional ability, and a systems-based approach.

[00:02:05 ] Detailed analysis on types of surgeries and the importance of assessing surgery urgency.

[00:04:26 ] Functional assessment in pre-op evaluation, including ASA classification and METs.

[00:07:29 ] Utilizing the ACC/AHA algorithm in pre-op assessment.

[00:09:37 ] The role of the Revised Cardiac Risk Index (RCRI) and NSQIP in evaluating surgery risks.

[00:11:38 ] Considerations for additional cardiac testing and when to involve cardiology.

[00:12:35 ] Quick hits on necessary pre-op tests: CBC, coags, liver function tests, and PFTs.

[00:14:43 ] Review of perioperative medication management.

[00:15:49 ] Closing remarks and key takeaways.