5. Anesthesia: Pre-Anesthesia

Evaluation Dialogue Between Doctor-Patient:
Doctor Good morning. How are you feeling?
Patient Hola, doctora. Vengo porque tengo que hacerme el preoperatorio antes de operarme una hernia inguinal.
Doctor Very well. Are you allergic to any medications?
Patient No, nada.
Doctor Do you smoke, drink, or take any drugs?
Patient Sí, soy fumador y suelo beber una copa de vino con todas las comidas.
Doctor Do you have any serious illnesses? Are you on treatment or have you had any surgeries?
Patient Pues tengo medicación para la tensión y también tomo una pastilla para la diabetes. Me he operado de cataratas y del menisco de la rodilla derecha.
Doctor Very well. Have you had any problems with anesthesia or surgery on those occasions? Have any family members had problems with anesthesia?
Patient Pues sí que tuve problemas porque tuve muchos vómitos cuando me desperté de la operación del menisco y no hay otros problemas familiares.
Doctor I’m going to examine your airway. Open your mouth wide and stick your tongue out.
Doctor Try biting your upper lip with your lower teeth.
Doctor Do you have any prosthetic teeth or teeth that move or are in bad condition?
Patient Tengo una prótesis móvil que se puede retirar.
Doctor You will have to take it out before the procedure. You have to fast for 6 hours prior to the operation. You can take an anxiolytic the night before and the morning of to calm your nerves.
Patient Y doctora, ¿qué tipo de anestesia me van a hacer?
Doctor You’ll see there are multiple ways we can anesthetize you for this operation. One option is general anesthesia and the other is spinal anesthesia. The anesthesiologist working that day will explain the benefits and disadvantages of each, and will tell you the best option for your situation.
Patient Muchas gracias, doctora.

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Introducción a la interpretación médica Copyright © by Vicente Iranzo, Ph.D. is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License, except where otherwise noted.

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