Paedintermediate

List the core components of a preoperative checklist for a patient scheduled for an elective caesarean section.

Answer

1. Confirmation of indication and review of ultrasound (gestational age, presentation, placental location, and estimated fetal weight) 2. Informed consent for the procedure and anaesthesia 3. Multidisciplinary team communication (anaesthetics, theatre, nursing, and neonatal resuscitation teams) 4. Laboratory investigations and blood product preparation (full blood count, group and save/cross-match) 5. Aspiration prophylaxis (e.g., H2-receptor antagonist, antacids) and surgical site infection prophylaxis 6. Patient preparation (intravenous access, urinary catheterisation, and thromboembolism prophylaxis) 7. Final fetal assessment (verification of fetal heart rate prior to surgery)

Explanation

A comprehensive answer groups the tasks into decision confirmation, assessment, consent, team readiness, investigations and blood preparation, prophylaxis, patient preparation, and fetal assessment. **Key takeaway:** A checklist reduces omissions and supports coordinated care. **Glossary:** **Aspiration prophylaxis**: measures intended to reduce the risk or consequences of aspiration during anaesthesia.

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