PATIENT ASSESSMENT History taking

PATIENT ASSESSMENT History taking

A thorough past medical history , surgical history and systemic enquiry should be documented, including important negatives ( Table 21.1 ). The history of past surgery and anaesthetic events can reveal the problems one may face during future procedures e.g. intra-abdominal adhesions for planned lapa - roscopic surgery , a di ffi cult airway or suxamethonium apnoea. The use of recreational drugs and alcohol consumption should be noted as they are known to be associated with adverse outcomes. A full drug history and list of allergies should be documented. Social history , ability to communicate and mobil - ity are important in planning admission, discharge route and rehabilitation after surgery .