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Useful Management Information
The multidisciplinary perioperative anesthetic clinic is an outpatient service for patients who are undergoing a major surgery at GCHHS and have one more of the identified co-morbidities who require anesthetic review and assessment.
This multidisciplinary model is supported by anesthetists, intensivists, nursing and various members of allied health.
Minimum Referral Criteria
Does your patient meet the minimum referral criteria?
| Category 1 (appointment within 30 calendar days ) | Patients who are having one of the following major surgeries confirmed within the next 30 days: Gastrointestinal:
Orthopaedic:
Neurosurgery:
Vascular:
Urological:
Oncological:
AND patient has any of the co-morbidities below:
|
|---|---|
| Category 2 (Appointment within 90 calendar days ) | Patients who are waitlisted CAT 2 for one of the below major surgeries and one or more major organ dysfunction: Gastrointestinal:
Orthopaedic:
Neurosurgery:
Vascular:
Urological:
Oncological:
AND patient has any of the co-morbidities below:
|
| Category 3 (appointment within 365 calendar days ) | Patients who are waitlisted CAT 3 for one of the below major surgeries and one or more major organ dysfunction: Gastrointestinal:
Orthopaedic:
Neurosurgery:
Vascular:
Urological:
Oncological:
AND patient has any of the co-morbidities below:
|
If your patient does not meet the minimum referral criteria
| |
Essential Referral Information
- Name of Surgeon and Surgical Specialty (e.g., HPB, Orthopaedics, Vascular)
- Type of Planned Surgery and Category (Cat 1, 2 or 3) (Major surgeries exceeding 3 hours, anticipated high blood loss (>750ml/15% TBW), or perioperative 30 day MACE risk >5%)
- Proposed or Confirmed Surgery Date (if known)
- Clinical Question or Reason for Referral to MAC
(e.g., “Fitness for surgery assessment in multimorbid patient,” “Anaesthetic input re anticoagulation,” etc.) - Copy of Recent Medical History or Summary
(Relevant past medical history, active conditions) - Recent Pathology Results (Hb, renal function, INR, BNP if applicable)
- Recent Imaging Reports (e.g., CXR, Echo, CT if related to fitness for surgery)
- Height and Weight
- Functional Status Desctiption or DASI Score (If available)
- AHQ or pre-procedure screening tool copy (If already completed)
- Current Medication List, including:
- Anticoagulants/antiplatelets
- Insulin or SGLT2 inhibitors
- Opoids or CNS-affecting medications
Additional Referral Information
- Recent specialist letters (e.g., Cardiologist, Respiratory, Endocrinologist)
- Echocardiogram or Stress Test results (within 12 months)
- Details of ICU admission or complications from past surgeries
- Frailty indicators (falls, gait aid use, weight loss)
- Language or communication barriers, AHD or EPOA status
- Details of complex social or discharge planning concerns
- Preference for MAC stream (e.g., frailty stream, persistent pain stream)
- Contact number of referring team member for clarification
Send Referrals To
Smart Referrals
Not Available
Secure Web Transfer
Not Available
Internal Referrals
Multidisciplinary Perioperative High Risk Anaesthetic Clinic qhRefer
Fax
(07) 5687 4497
Post
Not Available
Enquiries
Not Available
Service Availability
Dr Christopher Slattery
Facilities
Gold Coast University Hospital
If you would like to send a named referral, please address it to the specialist listed above, who will allocate a suitably qualified specialist to see the patient. Alternatively, you can view a full list of our specialists.