The medical complexity of surgical patients is increasing and medical specialties are frequently asked to assist with the perioperative management surgical patients. Effective pre-anesthetic medical evaluations are a valuable tool in providing high-value, patient-centered surgical care and should systematically address risk assessment and identify areas for risk modification. This review outlines a structured approach to the pre-anesthetic medical evaluation, focusing on the asymptomatic patient. It discusses the evidence supporting the use of perioperative risk calculation tools and focused preoperative testing. We also introduce important key topics that will be explored in greater detail in upcoming reviews in this series.

外科手术患者的医疗复杂性在增加，并且经常需要医学专业来协助围手术期管理外科手术患者。有效的麻醉前医学评估是提供高价值，以患者为中心的外科护理的宝贵工具，并且应系统地解决风险评估问题，并确定需要修改的领域。这篇综述概述了麻醉前医学评估的结构化方法，重点是无症状患者。它讨论了支持围手术期风险计算工具和重点术前测试使用的证据。我们还将介绍重要的关键主题，在本系列的后续评论中将对此进行更详细的探讨。