Pre-operative testing and medical clearance from a Primary Care Provider (PCP) are key to maximizing the safety of any surgical procedure in which oral or IV anesthesia medications are being used at Harmon Facial Plastic Surgery in Cincinnati. The testing and medical clearance are reviewed by Dr. Harmon and the physician anesthesiologist prior to the surgery date.
What Pre-Operative Testing Is Required at Harmon Facial Plastic Surgery?
Dr. Jeffrey Harmon
The Testing Required Depends on Multiple Factors
The extent of pre-operative testing depends on each patient’s past medical history as well as the type of anesthesia they will receive. More testing is required prior to a longer surgical procedure in which IV sedation will be used compared with a procedure in which only local anesthesia is used.
Every Patient Receiving IV Anesthesia Needs Medical Clearance from Their PCP
It is essential that any patient undergoing IV sedation is evaluated by their PCP to assess their cardiovascular risk prior to undergoing surgery. The PCP reviews their past medical history, reviews current medical problems, completes a physical exam, and reviews the testing listed below to conclude whether they are cleared for surgery.
Most Patients Need an Electrocardiogram (ECG)
Most patients need an ECG to rule out any previously undiagnosed abnormal heart rhythms or changes consistent with coronary artery disease (CAD) that would place them at increased risk while undergoing anesthesia.
Most Patients Need a Chest Xray (CXR)
Most patients need a CXR prior to surgery to rule out any obvious changes that could make oxygenating difficult while undergoing anesthesia.
Most Patients Need Laboratory Work
The laboratory testing most patients need includes a Basic Metabolic Panel (BMP) to evaluate electrolytes as well as a Complete Blood Count (CBC) to evaluate the levels of various components of the blood.
The American Association for the Accreditation of Ambulatory Surgery Facilities (AAAASF) Mandates COVID-19 Testing Pre-Operatively
AAAASF, the national accreditation body for the surgery suite at Harmon Facial Plastic Surgery, still mandates PCR COVID-19 testing pre-operatively. Therefore, all patients undergoing surgery at Harmon Facial Plastic Surgery are required to undergo this testing within 72 hours of surgery.
Pregnancy Testing is Required for Most Individuals Pre-Operatively
Harmon Facial Plastic Surgery has a pre-operative pregnancy testing policy that requires pregnancy testing – unless refused – for females of child-bearing age the morning of surgery who have not undergone a hysterectomy or removal of their ovaries and fallopian tubes (salpingo-oophorectomy).
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