[Verse 1]
Rheumatoid joints, the neck won't flex right
Ankylosing spine fused stiff by night
Scleroderma mouth too small to blade
Lupus patient, airway plans get made
C-spine instability, atlantoaxial threat
Video laryngoscope before you sweat
Every autoimmune case demands a scout
Map the anatomy before you're in doubt
[Chorus]
Avant de commencer, évalue tout
Check the list, there's no shortcut through
Latex, lithium, malignant heat
Psychiatric meds and the pregnant beat
Avant de couper, connais ton patient
Seven categories, sois vigilant
[Verse 2]
MAOIs and serotonin, dangerous blend
Lithium narrows where the therapeutic ends
SSRIs shift platelet aggregation low
ECT needs succinylcholine, careful though
Antipsychotics prolong the QT wave
Cannabis daily, MAC reduction craved
Cocaine blocks the catecholamine reuptake gates
Add a beta-blocker, coronary spasm waits
Alcohol withdrawal, the Ciwa scale your guide
Opioid tolerance — underdose and they'll slide
[Chorus]
Avant de commencer, évalue tout
Check the list, there's no shortcut through
Latex, lithium, malignant heat
Psychiatric meds and the pregnant beat
Avant de couper, connais ton patient
Seven categories, sois vigilant
[Verse 3]
Latex allergy — go synthetic, every line
Chlorhexidine reactions, subtle, read the signs
NMBD cross-reactivity, one drug triggers two
Anaphylaxis workup: tryptase, skin test, review
Malignant hyperthermia, ryanodine receptor flaw
Trigger-free machine, dantrolene on the floor
Family history counts, don't skip the kin
Total intravenous anesthesia, close the volatile in
[Bridge]
La femme enceinte needs two patients covered
Fetal monitoring, teratogen risk discovered
First trimester fragile, elective surgery waits
Non-obstetric cases — smallest dose, elective dates
Jehovah's Witness, refusal signed and clear
Cell salvage, erythropoietin, autologous here
Document the conversation, respect autonomy's ground
Legal minors — courts can override, if life is found
[Verse 4]
The elderly patient, frailty index scored
Cognitive screening catches what the chart ignored
Geriatric co-management, delirium prevention planned
Smaller doses, longer half-lives, steady hand
Pediatric preop — NPO windows narrowed down
Clear fluids two hours, solids six, don't drown
Parental presence, distraction kits deployed
Anxiety undertreated leaves recovery destroyed
[Chorus]
Avant de commencer, évalue tout
Check the list, there's no shortcut through
Latex, lithium, malignant heat
Psychiatric meds and the pregnant beat
Avant de couper, connais ton patient
Seven categories, sois vigilant
[Outro]
Sept catégories — spine, psych, and substance drawn
Allergy, MH, pregnancy, and age upon
The Witness at the table, the infant in the bay
Assess them all before the blade sees day