I would like to see all my patients night before surgery and advice proper medications-omission or addition. But a formal preanesthetic checkup with required investigations should be done not more than 3 months before surgery.
in my opinion I think before planing for surgery and anesthesia the patient should know that if he is smoker giving up for several weeks before the operation will reduce the risk of breathing problems during anesthesia making anesthesia safer.
If he or she is very overweight, reducing weight will reduce many of the risks of having an anesthetic. If she or he have loose teeth or crowns, treatment from dentist may reduce the risk of damage of teeth during the anesthetic.
If she or he have a long-standing medical problem such as diabetes, asthma or bronchitis, thyroid problems, heart problems or high blood pressure, they should ask if they need a check-up.
i usually see my patients in the clinic once they have an appointment for elective surgery , and i again see them the day of admission before surgery .
Apart from the pre-anesthesia clinic visit regarding fitness, all patients should be seen by the concerned anesthesia team at least a day prior and the plan of anesthesia should also be discussed and any preoperative instruction can be given at that time if required. This gives a sense of bonding between the patients and anesthesiologist in a better way.
For daycare surgeries, where patients directly come from home, the anesthesiologist should visit the patient's preoperative waiting room and meet the patients as early as possible (maybe at least 2 hours prior).