Pre-Anesthesia Check-Up (PAC) Clinic in Thane
Why Pre-Surgical Fitness Assessment Is Critical for Safe Surgery
At Aayush Multispeciality Hospital – By Dr. Ankur Bhanushali
General, Laparoscopic, Laser & Daycare Surgery Specialist
What Is a Pre-Anesthesia Check-Up (PAC)?
A Pre-Anesthesia Check-Up (PAC) is a detailed medical evaluation done before surgery to assess whether a patient is fit to safely undergo anesthesia and surgery.
PAC is not just a formality — it is a life-saving safety step that prevents avoidable complications during surgery.
Why PAC Is Mandatory Before Surgery
PAC helps to:
✔ Identify hidden medical conditions
✔ Reduce anesthesia-related risks
✔ Optimize existing diseases
✔ Plan the safest anesthesia technique
✔ Prevent last-minute surgery cancellations
At Aayush Multispeciality Hospital, Thane, no surgery is performed without proper PAC clearance.
Who Needs a PAC?
✔ All patients undergoing surgery under anesthesia
✔ Daycare surgery patients
✔ Elderly patients
✔ Patients with diabetes, BP, heart or lung disease
✔ Emergency surgery patients (rapid PAC)
Components of a Standard PAC Evaluation
1️⃣ Detailed Medical History
✔ Past illnesses
✔ Previous surgeries
✔ Drug allergies
✔ Current medications
✔ Smoking / alcohol history
2️⃣ Physical Examination
✔ Blood pressure
✔ Heart & lung examination
✔ Airway assessment
✔ Weight & BMI
3️⃣ Pre-Operative Investigations
✔ Blood tests
✔ ECG
✔ Chest X-ray (if required)
✔ 2D Echo / Pulmonary tests (if indicated)
Investigations are tailored to patient age and risk.
ASA Physical Status Classification
Patients are classified as:
✔ ASA I – Healthy
✔ ASA II – Mild systemic disease
✔ ASA III – Severe systemic disease
✔ ASA IV – Life-threatening disease
This helps decide anesthesia planning & monitoring level.
Optimization Before Surgery
PAC allows:
✔ Blood sugar control
✔ Blood pressure stabilization
✔ Correction of anemia
✔ Medication adjustments
This significantly improves surgical outcomes.
PAC in Daycare Surgery
For daycare procedures:
✔ Short-acting anesthesia planned
✔ Same-day discharge considered
✔ Post-operative pain control ensured
PAC makes daycare surgery safe and predictable.
PAC in Emergency Surgery
In emergencies:
✔ Rapid focused PAC
✔ Life-saving surgery prioritized
✔ High-risk consent taken
Safety is balanced with urgency.
Role of PAC in Reducing Surgical Complications
PAC helps prevent:
❌ Cardiac events
❌ Respiratory complications
❌ Anesthesia reactions
❌ ICU admissions
❌ Surgery delays
Role of Surgeon & Anesthetist Coordination
✔ Joint planning
✔ Risk discussion
✔ Clear communication
✔ Customized anesthesia strategy
Dr. Ankur Bhanushali works closely with anesthetists to ensure maximum patient safety.
Aayush Multispeciality Hospital – Full Details
📌 1st Floor, Marigold Apartment, Almeda Road, Panch Pakhdi, Thane West – 400602, Maharashtra, India
📞 +91 86910 33033
🌐 https://drankurbhanushali.com
📍 https://maps.app.goo.gl/3Msc7YZqVkV9mQMQ7
📧 drankur.bhanushali@gmail.com
Dr. Ankur Surgical Clinic – Full Details
📌 Shop No 4, Laxmi Krupa Building, Edulji Road, Charai, Thane West – 400602, Maharashtra, India
📞 +91 86910 33066
🌐 https://bestsurgeoninthane.com
📍 https://maps.app.goo.gl/XmmGNbgFyhGcqfvV6
Why Patients Feel Safer After Proper PAC
🌟 Reduced surgery risk
🌟 Fewer complications
🌟 Better anesthesia planning
🌟 Faster recovery
🌟 High patient confidence
