2000, Number 2
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Rev Mex Anest 2000; 23 (2)
Preoperative laboratory exams in anesthesiology. The simplified strategy of Roizen
López HG, Islas CD, Zaga MI
Language: Spanish
References: 27
Page: 77-82
PDF size: 928.98 Kb.
ABSTRACT
Background and Objectives: Preoperative studies are necessary when they are well indicated and rationalized. In this work we analyzed its utility throughout simplified strategy of Roizen.
Material and Methods: The productivity of our service was evaluated during 3 months with respect to the age groups. We evaluate ASA clasification, preoperative pathology and the incidences of abnormalities in respect the preoperative laboratory tests; 1,652 patient files were included in the study. Results: patients with physica l status I, no showed any abnormalities in the different age groups, and higher incidence in better physical always was associated in direct relation with age.
Conclusions: The number of preoperative studies is elevated and unnecessary, especially in younger people. Preoperative examinations and clinical interrogation will be a better alternative than preoperative labs.
REFERENCES
Stephen P. Development and effectiveness of an Anesthesia preoperative evaluation clinic in a teaching Hospital. Anesthesiology 1996;85:196-206.
Bradly J. Preoperative laboratory screening in healthy Mayo patients: Cost-effective elimination of test and unchanged outcomes. Mayo Clinic Proc 1996;66:115-119.
Diario Oficial de la Federación Ley General de Salud. -Lineamientos normativos para la práctica de la Anestesiología en México.
Diario Oficial de la Federación Ley General de Salud Norma Técnica No. 52 Para la elaboración Integración y uso del expediente clínico. Miércoles 20 de agosto 1986.
Instructivo de operación del Departamento del quirófano IMSS, Subdirección General Médica: Jefatura de Servicios de Hospitales.
Guevara U. Normas mínimas de calidad de la FSARM para la práctica de la Anestesiología en México. Anestesia en México vol 1996;VIII; num.5 sept-oct.
lineamientos para la mejora continua en Unidades Médicas.- Dirección de prestaciones médicas 1997.
Zonas Medicas.- Dirección de prestaciones Médicas.
Roizen M. Advances in anesthesia cap. 2 preoperative evaluations for elective surgery- what laboratory tests are needed. vol. 10 pag. 25-43. 1993
Roizen M. Preoperative assessment: What is necessary to do?. Chicago Illinos. Annual refresh course 1994 ASA. Num. 132 pag. 1-7
Blery C. Evaluation of a protocol for selective ordering of preoperative tests. Lancet. January 18, 1986; Pag 139-141.
Arriola J. Utilidad de los estudios preoperatorios en cirugía electiva. REV Mex Anest 1996;19:115-121.
Silva A. Utilidad de exámenes preoperatorios en pacientes con estado físico ASA I y II, programados para cirugía electiva. Rev Mex Anest 1996:19:172-176.
Wiklund. R. Medical Progress. Review articles.- New Eng J Med 1997:337;16:1132-1139.
Wiklund. R. Medical Progress. Review articles. New Eng J Med 1997;337:1215-1219.
David S. Preoperative screening: value of previous tests. Ann Intern Med 1990;113:969-973.
Rachel E. The automated interview versus the personal interview. Anesthesiology 1991;75:394-40.
Roy W. Is preoperative haemoglobin testing justified in children undergoing minor elective surgery?. Canad J Anesth 1991;38:700-703.
Michael J. A prospective evaluation of the efficacy of preoperative coagulation testing. Ann Surg 1988;288:554-557.
Macario A. Reassessment of preoperative laboratory testing has changed the test-ordering patterns of physicians. Surg Gynecol Obstet 1992;175:539-547.
Cohen M. Does anesthesia contribute to operative mortality? JAMA 1988;260:2859-2863.
Kaplan B. The usefulness of preoperative laboratory Screening. JAMA 1985;243:3576-3581.
Jeffrey M. The value of preoperative screening investigations. Arch Intern Med 1987;147:1101-1105.
Levinstein M. Yield of routine annual laboratory test in a skilled nursing home population. JAMA 1987;258:1909-1915.
Hackman T. Anemia in pediatric day-surgery patient: Prevalence and detection. Anesthesiology 1991;75:2-31.
Manual for Anesthesia Department: Organization and Management. 1997.
Kennet J. Cost containment efficiency in perioperative care. Annual refresh course 1994 ASA. Num. 155 pag. 1-7.