Pre-Anesthesia Evaluation Clinic (PAC)
Why Pre-Surgery Fitness Assessment Saves Lives
At Aayush Multispeciality Hospital, Thane – By Dr. Ankur Bhanushali
General, Laparoscopic, Laser & Daycare Surgery Specialist
What Is Pre-Anesthesia Evaluation (PAC)?
Pre-Anesthesia Evaluation is a mandatory medical assessment done before any surgery to determine whether a patient is fit to undergo anesthesia and surgery safely.
PAC reduces:
✔ Intra-operative complications
✔ Anesthesia-related risks
✔ Surgery cancellations
✔ ICU admissions
Why PAC Is Essential for Every Surgery
Even minor surgeries can become risky without proper evaluation.
PAC helps to:
✔ Identify hidden medical conditions
✔ Optimize existing diseases
✔ Choose safest anesthesia type
✔ Plan post-operative care
When Is PAC Done?
✔ Elective surgeries – 1 to 7 days before surgery
✔ Daycare surgeries – Same day or prior
✔ High-risk patients – Early evaluation
Emergency surgeries follow rapid PAC protocols.
What Is Evaluated During PAC?
✔ Medical history
✔ Previous anesthesia exposure
✔ Drug allergies
✔ Current medications
✔ Smoking / alcohol history
Physical Examination Includes
✔ Airway assessment
✔ Heart & lung examination
✔ Blood pressure control
✔ BMI & nutritional status
Mandatory Investigations in PAC
✔ Blood tests
✔ ECG
✔ Chest X-ray (if required)
✔ Sugar & kidney function
✔ Specialized tests for high-risk patients
Risk Stratification
Patients are classified using:
✔ ASA (American Society of Anesthesiologists) grading
✔ Cardiac risk scores
This determines anesthesia plan and OT preparedness.
PAC in High-Risk Patients
Extra caution for patients with:
✔ Diabetes
✔ Hypertension
✔ Heart disease
✔ Lung disease
✔ Elderly age group
PAC significantly lowers complications in these groups.
Role of PAC in Laparoscopic Surgery
Laparoscopic surgery requires:
✔ Fitness for pneumoperitoneum
✔ Cardio-pulmonary reserve
✔ CO₂ tolerance
PAC ensures laparoscopic safety.
PAC for Daycare Surgeries
Even short procedures require:
✔ Full PAC protocol
✔ Fast-track anesthesia planning
✔ Same-day discharge safety
What Happens If a Patient Is Not Fit?
✔ Surgery postponed
✔ Medical optimization done
✔ Specialist opinion taken
✔ Re-evaluation after stabilization
Patient safety always comes first.
PAC Protocols at Aayush Multispeciality Hospital
✔ Dedicated PAC system
✔ Standardized checklists
✔ Multidisciplinary coordination
✔ Emergency preparedness
Why Patients Trust Dr. Ankur Bhanushali
✔ Surgery only after fitness confirmation
✔ Ethical decision-making
✔ Clear communication with patients
✔ Evidence-based surgical care
Aayush Multispeciality Hospital – Full Address
📍 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
Dr. Ankur Surgical Clinic – Full Address
📍 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
