Anesthesia Perioperative Risk Assessment & Plan Development
Systematically assess perioperative risk and develop evidence-based anesthesia plans
What You Can Do
You'll systematically evaluate patient risk factors, stratify perioperative risk using evidence-based frameworks, and generate detailed anesthesia plans that address specific comorbidities and procedural requirements. This skill helps you synthesize complex patient data—medical history, physical exam findings, lab work, imaging, and medication profiles—into actionable risk mitigation strategies that optimize patient safety and guide technique selection, drug choices, and monitoring protocols.
Features
Example Output
Example 1: High-Risk Cardiac Patient
Risk Profile: 72-year-old male, NYHA Class II heart failure, EF 35%, recent MI (8 months), Type 2 DM, HTN
ASA Class: III-E (emergent modifier if urgent surgery)
Cardiac Risk: High (RCRI ≥3 points: age >70, cardiac history, DM)
Recommendations:
- Preop: Optimize beta-blocker, consider preop stress testing if time permits
- Technique: Consider neuraxial or reduced-GA approach if feasible
- Monitoring: Arterial line, TEE consideration, invasive hemodynamic monitoring
- Drugs: Avoid negative inotropes; titrate carefully; have vasopressor/inotrope protocol
Example 2: Morbidly Obese Patient with Sleep Apnea
Risk Profile: 58-year-old female, BMI 48, OSA on CPAP, HTN, reflux disease
Airway Risk: Difficult airway predicted (Mallampati III, limited neck extension)
Recommendations:
- Technique: Awake fiberoptic intubation preferred; avoid succinylcholine
- Positioning: Ramped intubation setup, extended monitoring post-op
- Drugs: Reduce induction agent doses, avoid opioid oversedation, use short-acting agents
- Post-op: ICU monitoring, delayed emergence protocol, CPAP availability
What's Included
- SKILL.md instruction file with structured risk assessment framework:
- Preoperative Assessment Template with comorbidity checklist, physical exam documentation, and risk score calculations:
- Risk Stratification Flowchart integrating ASA, cardiac, and pulmonary risk indices:
- Anesthesia Plan Development Worksheet with technique selection decision trees and drug/monitoring protocols:
- Guideline Reference Summaries condensing ASA and ACC/AHA perioperative assessment criteria:
Who It's For
- Anesthesiologists conducting preoperative evaluations for surgical patients
- CRNAs and anesthesia assistants developing anesthesia plans under physician supervision
- Anesthesia residents preparing comprehensive preop assessments for case discussions
- Perioperative medicine specialists optimizing high-risk patients before elective surgery
- Surgical teams and ICU staff receiving risk stratification summaries for care coordination
Best For
- Preoperative risk assessment and documentation for any surgical patient
- Anesthesia planning for high-complexity cases (multiple comorbidities, difficult airway, cardiac/pulmonary disease)
- Patient optimization discussions and informed consent conversations
- Perioperative protocol development for specific high-risk populations
- Interprofessional communication with surgeons, ICU teams, and other care providers
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