What Happens if The Patient Does Not Tell the Truth to His Anesthesiologist?

Alev Oztas

doi:10.23937/2377-4630/1010

Abstract

This is the case report of a young man, whose clinical condition has not been identified properly in the preoperative evaluation. A 27-yr-old man presented with complaints of nasal obstruction. His clinical examination was almost unremarkable, except for indistinct cyanosis at the lips. He denied any symptoms related cardiovascular and respiratory systems. A chest radiograph was normal, as were all laboratory investigations. He had received general anesthesia with persistent low pulse oximetry readings. This led us to investigate him further in the postoperative period and to report Kansas haemoglobin as the first, benign haemoglobinopathy from Turkish population.

Highlights

The anesthesiologists perform preoperative evaluation for providing comfort and safety to patients; and; to get accurate clinical profile of the patient for reducing surgery-anesthesia related complications
The preanaesthetic assessment of a surgical patient by an anesthesiologist plays a vital role in interaction between the patient and physician
The time invested in the preoperative evaluation is neither equal nor adequate, for all patients, at all preoperative evaluation clinics [9]

Summary

Introduction

The anesthesiologists perform preoperative evaluation for providing comfort and safety to patients; and; to get accurate clinical profile of the patient for reducing surgery-anesthesia related complications. This preanaesthetic assessment has several objectives, like measuring risk and reporting it to the patient and reviewing diagnosis and treatment of diseases. A 27-yr-old male with snoring admitted to the hospital He was diagnosed as septal deviation and scheduled for an elective septoplasty operation by the Ear-Nose-Throat (ENT) surgeon. When asked to the patient, he began to tell about the same condition in three members of his family He confessed that he was afraid of telling this truth; since he was afraid of cancellation of his surgery. He had a SpO2 value of 75% on room air

International Library

Findings

Discussion