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In many instances, patients will need to have medical clearance for surgery before surgeons or other medical professionals will perform a procedure. These clearances give the surgeon a vital second medical opinion about the patient's safety and risk factors in relation to the planned procedure. In many instances, your surgeon will advise that you get a medical clearance from your primary care physician. This clearance may entail having labs, imaging exams, physiology studies, and other tests ordered.

Medical clearances for surgery often include, at the least, blood testing, a thorough review of the patient's medical history, a review of current prescriptions, and a review of any interactions with any medications the surgeon could prescribe for anesthesia or pain management. The term “surgical clearance” is debatable in the medical community. Depending on the context, the phrase can be used in a variety of ways with different meanings. For instance, a fitness instructor might ask a customer for permission to start an exercise program, or a student athlete might need permission to play sports. When requesting a medical evaluation from a patient before performing surgery, surgeons frequently use this phrase. In the context of surgery, a patient's medical clearance simply refers to a clinician's approval that they are fit and well enough to undergo a particular procedure.

 

Evaluate, communicate, and document

A preoperative medical evaluation might not be necessary for some patients. Patients who are otherwise in good health—ASA I or II, according to the American Society of Anesthesiologists (ASA) Physical Status Classification System—do not typically need a preoperative physical examination, but the surgeon and/or the patient's primary care physician may decide differently. The surgeon who recommends surgery will refer patients with significant comorbidities (ASA III and above) for a preoperative medical consultation. The patient's primary care physician is the first step, and he or she may refer the patient to a specialist, like a cardiologist. The surgeon is required to give the evaluating physician current information regarding the patient's health, the type and anticipated duration of surgery, the type of anesthesia to be used, the anticipated length of the patient's immobility, and specifics regarding the patient's rehabilitation and anticipated recovery time.

Whether it’s medical clearance or diabetes cure, the general practice doctor Houston at Houston Family Practice can offer the right suggestions.

What you need to know

A professional assessment of a patient's health and current medical condition conducted by a doctor before a scheduled surgical procedure is known as a surgical or preoperative or medical clearance for surgery. Instead of ‘clearing' a patient for surgery as the phrase indicates, the objective of preoperative clearance is to identify underlying (or even undiscovered) medical conditions that may raise risk and result in complications during or after a specific type of operation. While there is some risk associated with every procedure, there may be a higher risk associated with particular types of surgery depending on the patient's condition. A preoperative clearance, therefore, gives clinicians critical knowledge to enhance the patient's post-surgical prognosis.

Before calculating the patient's surgical risks, the assessing physician or primary care doctors Houston, analyses all available data and may request more labs, tests, or consultations. To help the patient be in the best possible posture for surgery while reducing perioperative risks, recommendations for modifications in medical care may be made. For instance, prior to surgery, the surgeon and evaluating physician should agree on which medications to stop and which to continue. Using anticoagulants frequently can lead to difficulties during surgery. The surgeon and the evaluator should decide on the best course of action based on the patient's risk factors if the patient takes anticoagulants.

Patients have a great opportunity to learn more about their medical conditions and receive recommendations for enhancing their health during preoperative physicals. For medical clearance for surgery, get in touch with Houston Family Practice.