Pre-assessment and pre-optimisation of the surgical patient

Madhurima Das, Katie Blightman

Abstract

The key aim of ERAS is to ensure that surgical patients “feel better sooner and are able to return to normal living sooner”. The pre-operative period is immensely valuable in helping achieving these goals for a number of reasons. This review article will highlight some of key areas where pre-operative assessment is involved in ensuring the surgical patient is optimally prepared for their surgery, in particular those patients that might be high risk and have multiple co-morbidites. The focus of this particular article will be the management of some common chronic conditions, including anaemia and diabetes, and how these can be optimised in the pre-operative period, as well as discuss the concept of prehabilitation and its role within an ERAS programme.