Introduction:
Pre-anaesthetic fitness for surgery requires preanaesthetic
evaluation of the patient which is one of the
essential parts of perioperative care. Several large scales
epidemiological confidential study into peri-operative
death showed that inadequate preparation of the patients
were the major contributory factors for perioperative
mortality 1; the mortality rate is 0.01% 2. The factors
include recognition of existing problems of the patient
at the earliest opportunity; the process must be designed
to allow the problematic patients to be seen by an
experienced anaesthesiologist well in advance of
proposed surgery 3. This can be achieved if proper
anaesthetic check up is done as soon as the patient is
scheduled for operative procedure. The main purpose
is to keep the patients in their best possible physiological
condition to undergo anaesthesia and to ensure that the
benefit of surgery must not be outweighed by
perioperative risks. There should not be any lapse in
the routine procedure of pre-anaesthetic formalities.
Many a time a small little gap in this practice could