Publication date: Available online 22 September 2018
Source: Anaesthesia & Intensive Care Medicine
Author(s): Will Watson, Adam Capek
Abstract
Premedication is an important part of preoperative management of all patients. It involves the optimization of underlying medical conditions and implementation of risk reduction therapies. Anxiolytic medications still have a place, particularly in certain patient populations. Important classes of drugs to consider in the perioperative period are cardiovascular drugs, anticoagulants and antiplatelets. Aspiration prophylaxis is the main risk-reduction therapy used. Benzodiazepines are still the mainstay of anxiolysis treatment, while topical anaesthesia can be used to aid cannula insertion. The most important aspect is thorough assessment of each patient, and tailoring the premedication to their specific needs.
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