and Paolo Biondi2
(1)
Aesthetic and Maxillofacial Surgery, Padova, Italy
(2)
Maxillofacial Surgery, Forlì, Italy
Abstract
Following the “spiral of analysis” requires continuous effort in many phases of our practice. When you have an individually tailored and patient-accepted treatment plan for the following day’s surgery, these continuous efforts are directed toward the checking activity. Again, the most important advice is not to stop analyzing and questioning.
The important thing is not to stop questioning
– Albert Einstein
Following the “spiral of analysis” requires continuous effort in many phases of our practice. When you have an individually tailored and patient-accepted treatment plan for the following day’s surgery, these continuous efforts are directed toward the checking activity. Again, the most important advice is not to stop analyzing and questioning.
12.1 Meet the Patient the Day Before the Operation
One of my favorite moments in the preoperative phase is the meeting the day before. Even if all the preoperative steps are concluded and the informed consent documentation is signed, I like to go over the goals of the procedure together with my patient only a few hours before the surgery. The other main points of the meeting the day before are:
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Verify all the medical records. Do they contain evidence of first-visit patient education? Do they contain evidence of the procedure you will later perform? Do they include a complete history and physical examination? Do they include a complete and itemized patient priority list? Are the preoperative analysis and planning sheets ready for tomorrow?
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If the patient is a smoker, verify that she has stopped smoking before the procedure.
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Verify that she has not taken aspirin in the previous 2 weeks.
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Verify that you have the opportunity to meet the patient’s wishes with the treatment plan!
I believe it is absurd and dangerous to operate on a patient without a recent and conclusive preoperative meeting.
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