Pre-anesthetic examination 1

female S.D.  born 1942; 

Current illness + Surgery: pathological fracture of the right femor, fall 9/20/20 - plan 1/2 THA (CKP)

9/2020 in COVID infection of atrial fibrillation with rapid ventricular response, antiarrhythmic titration; pharmacological version on s.r .;
walking before a fracture, in good general condition, COVID positivity persists (day 20), but after consultation with hygiene a barrier regime is not necessary, pac. is no longer infectious, 2.10. smear for COVID virus viability - result expected from Ostrava 16.10.

Family history: anesthesiologically insignificant;

Personal history: multiple myeloma; thyroidopathy without medication; hypertension, varices; heart failure 7/2020

Social history: Pensioner;

Pharmacological History: caramlo; Concor; rytmonorm; neurontin; furon, godasal, mirtazapine, lexaurin, revlimide; novalgin; Prednisone obden, helicide;

Allergies: Doreta, Nalgezin, Tramal, iodine disinfection, perhaps allergies to some ATB (does not know)

Oncologist: multiple myeloma

Abusus: 0

Previous operations: 0;

Transfusion: 0

Subjectively: in a good mood, without shortness of breath, she doesn't cough up anything.

Load tolerance: unrestricted before falling.

Objectively: BMI: 51kg; 150cm

Airway evaluation before intubation:

Mallampati: I; cervical spine mobility full; opening the mouth in the norm.

Breathing: alveolar bilat.

X-ray S + P: 9/2020: blurring of the bilat .. 10/2020 do inflammatory changes to the right persist, the proportion of fibrosis or fluid? on the left summation with heart shadow rather spiked bordered obscure - pleural changes, adhesions; st.p. serial fr. ribs.

Spirometry 8.10.2020 mild combined ventilation disorder.

Circulation: BP: 140/90 mmHg P: 78 / min

ECG: AF, QRS 0.1; 

Echo: LV without kinetics disorder, EF 58%; insignificant changes in the flaps; without effusion in the pericardium; atrial dilatation.

Laboratories: Hb 122; Thr 309;

Internal preoperative examination: able

Recent antibiotics: empirically Cefixime 9/2020 and pneumonia in COVID +;

Conclusion: The patient is able to perform SA with morphine (or in GA), can position the sideways, ASA IIIE.

Fully informed about the anesthesiological procedure.

Pre-anesthetic examination 2:

75 Y;  female.

Current disease + surgery: brain tumor parietally - open brain biopsy

Family history: anest. insignificant;

Personal history: CHD with good LV function, AIM in 50 years, hypertension, DM II on PAD; hypothyroidism on substitution, polyneuropathy, HD lymphedema;

Social: widow 1 year;

Pharmacological history: euthyrox 50 1-0-0, apo-pante 20 1-0-0, amprilan 2.5 1-0-0, Nebilet 1-0-0, Preductal MR 1-0-1, Torvacard 10 0- 0-1, Detralex 0-2-0, Moduretic 1 / 2--0-0 ob den, Furon 1 / 2-0-0 ob den, Siofor 500 1-1-1, Glyclada 30 mg 1-0-1 , Apo-alopurinol 0-1-0, Vesicare 10 1-0-0, novalgin dp before the operation planted Godasal 100 0-1-0,

Allergies: Voltaren (diclofenac) injection - fainting, nausea;

Oncol: Ca uterus

Abusus: 0;

Previous operations: HYE 2018; CHCE 1970;

Transfusion: 0

Subjective:  Load tolerance: good

Objectively: BMI: 66 kg; 160 cm

Airway evaluation before intubation:

Mallampati: IV; spinal C motility slightly limited; opening the mouth in the norm.

Respiration: alveolar bilat, without led. hairdryer.

X-ray S + P: no infiltration, CT: incipient bronchiectasis

Circulation: BP: 115/76 mmHg P: 70 / min

ECG: s.r. intervals in norm.

Laboratories: good.

Internal preoperative examination: able

Conclusion: Patient capable of surgery in GA (intubation with video-laryngoscope), ASA II. Diabetic preparation.

Fully informed about the anesthesiological procedure.