Rural Surgery pp 133-138 | Cite as

Preoperative Risk Assessment in Rural Surgery

  • Teresa Bueti
  • Munawar Rana
  • Matthias W. Wichmann


Preoperative risk assessment aims to identify patients with a higher risk of peri- and postoperative complications early during the preparation for elective surgery. Preoperative risk assessment is done via a nurse-led preadmission clinic and may require specialist anaesthetist input or even complete anaesthetic risk assessment. A dedicated preadmission clinic can reduce the risk of surgical intervention, contributes to a significant reduction of delays on operating lists as well as late cancellations. Preadmission clinics should be established in all hospitals performing medium and major surgery on an elective basis.

Recommended Reading

  1. American Society of Anesthesiology: ASA Classification of Surgical Patients. American Society of Anesthesiology, Chicago (1991)Google Scholar
  2. Fleisher, L.A., et al.: ACC/AHA 2007 guidelines on perioperative cardiovascular evaluation and care for noncardiac surgery: executive summary. Circulation 116, 1971–1996 (2007)PubMedCrossRefGoogle Scholar
  3. Institute for Clinical Systems Improvement (ICSI): Preo­perative evaluation. National guideline clearinghouse.

Copyright information

© Springer-Verlag Berlin Heidelberg 2011

Authors and Affiliations

  • Teresa Bueti
    • 1
  • Munawar Rana
    • 2
  • Matthias W. Wichmann
    • 3
  1. 1.Outpatients DepartmentMount Gambier General HospitalMount GambierAustralia
  2. 2.Department of AnaesthesiaMount Gambier General HospitalMount GambierAustralia
  3. 3.Department of General SurgeryMount Gambier General Hospital and Flinders University Rural Medical SchoolMount GambierAustralia

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