What would be your immediate concern on preoperative assessment for a patient receiving salicylate therapy for over a year?

The immediate concern during the preoperative assessment for a patient on long-term salicylate therapy is prolonged bleeding time. Salicylates, such as aspirin, have an antiplatelet effect that inhibits platelet aggregation. This can lead to an increased risk of prolonged bleeding, especially during surgical procedures. When planning for surgery, it is crucial to assess and manage bleeding risks to ensure patient safety and appropriate surgical outcomes.

Understanding this relationship highlights the importance of reviewing the patient's medication history and the duration of salicylate use to mitigate any potential complications related to hemostasis during and after surgery. Proper assessment can guide decisions regarding the timing of the procedure and adjustments in medication to reduce bleeding risk while under anesthesia.