Pre-Anaesthetic Chest Clearance in Bharuch — Samarth Chest Hospital & ICU

About this service

Pre-Anaesthetic Chest Clearance for elective and emergency surgery — risk stratification, optimisation of lung function and clear written recommendations for the anaesthesia team.

Spirometry, ABG and chest imaging review
Pre-operative inhaler and physio plan
Smoking-cessation support before surgery
Post-operative respiratory follow-up

About Pre-Anaesthetic Chest Clearance at Samarth Chest Hospital, Bharuch

Elderly patients, smokers and those with asthma, COPD or interstitial lung disease benefit from a formal pre-anaesthetic chest clearance before elective surgery. We combine a focused history, spirometry, ECG and chest imaging review to stratify peri-operative pulmonary risk and optimise the patient before surgery.

Who typically needs this

Elective abdominal, joint, cardiac or neurosurgery patients
Smokers or ex-smokers over 50
Known asthma, COPD or ILD
Obesity, obstructive sleep apnea or restrictive lung disease
Post-COVID patients scheduled for elective surgery

How to prepare

Bring the surgeon's referral letter
Recent ECG, HRCT/CXR and blood reports
List of current inhalers, blood thinners and cardiac drugs
Stop smoking as soon as possible before surgery

What to expect

Focused pulmonary risk assessment
Spirometry with bronchodilator response
ECG and SpO₂ documentation
Optimisation of inhalers, nebulisation and steroids
Formal written clearance letter for the surgeon and anaesthetist

After the visit

Continued inhaler/nebulisation plan up to the day of surgery
Post-operative chest-physiotherapy plan on discharge
Early review if breathlessness worsens after surgery

Why patients in Bharuch choose Samarth Chest Hospital

Objective, not just 'signed & sealed' clearance
Aligned with anaesthetist requirements
Same-day PFT and ECG at one location
Post-operative respiratory follow-up available

Frequently asked questions

How soon before surgery should I get chest clearance?

Ideally 1–2 weeks before the scheduled date, so any inhaler optimisation, smoking cessation or chest infection can be addressed in time.

Do all patients need pre-op chest clearance?

No. It is essential for smokers, patients over 60, known asthma/COPD, obesity, sleep apnea, post-COVID patients and those undergoing major thoracic or upper-abdominal surgery.

Is PFT always required?

Not always. It is strongly recommended in known airway disease, smokers, thoracic surgery and any patient with unexplained breathlessness.

What if my clearance says 'high risk'?

High-risk clearance is not a refusal — it lists specific optimisation steps (inhalers, physiotherapy, cessation) and ICU-standby requirements so surgery can proceed safely.

Do I get a written report for the surgeon?

Yes — a formal signed clearance letter is provided for the surgeon and anaesthetist, with medication and risk-stratification notes.

The information above is educational and does not replace an in-person consultation. For a personalised plan, book with Dr Saurabh Bhatt (MD Pulmonology) at Samarth Chest Hospital & ICU, 4th Floor, RK Casta, Bharuch — call +91 90161 12968 or WhatsApp us.