Abstract: |
The ability to provide appropriate anesthesia care for the patient undergoing radical prostatectomy, whether as an open procedure or with a laparoscopy approach with or without robotic assistance relies on a thorough preoperative evaluation. The American Society of Anesthesiologist (ASA) has published guidelines for preoperative evaluation. These guidelines however are recommendations and should be adapted to the patient’s individual needs. In the case of the cardiac patient undergoing non-cardiac surgery the American College of Cardiology (ACC) has published guidelines to help manage the patient in the preoperative period. Individual needs of the patient must also be considered and special concerns relating to the surgical procedure itself such as an open procedure versus a closed approach, the position of the patient during surgery, the length of the surgery, and complications associated with each particular procedure needs to be taken into consideration for each individual patient. The risks and concerns are addressed with the patient at the time of preoperative evaluation. © Springer Science+Business Media New York 2014. |