59MDWI44-108 governs preoperative anesthesia evaluation of patients presenting for surgical procedures at specified medical centers.
View 59MDWI44-108 on armypubs.army.mil
59MDWI44-108 covers scheduled surgery patients, routine evaluations, informed consent, preoperative medications, and case cancellations. It requires anesthesia evaluations, consent, documentation, targeted testing, and procedures for unsuitable ambulatory cases.
Applies to: This instruction applies to all personnel assigned, attached, or under contract to the 59th Medical Wing for patients with procedures that would be performed within the operating rooms of either Brooke Army Medical Center or Wilford Hall Ambulatory Surgery Center.
All patients requiring anesthesia involvement in the operating room, regardless of type and depth of the planned anesthetic (local, Monitored Anesthesia Care, regional, general), must undergo an appropriate preoperative anesthesia evaluation. (paragraph 1)
Unless precluded by emergency patient conditions, informed consent is required for all anesthetic procedures. (paragraph 3)
The 59 MDW Form 50, Pre-Operative/Procedure Registration and Questionnaire, will be completed in their surgery clinic to determine suitability for surgery at Wilford Hall Ambulatory Surgical Center (WHASC). (paragraph 2)
The anesthesia preoperative evaluation will be documented using the Essentris system. A paper preoperative anesthesia evaluation will be used only if Essentris is unavailable and/or for Out of Operating Room procedures. (paragraph 2)
Clinically-indicated preoperative tests should be completed within two weeks of surgery. (paragraph 2)