Preoperative tests recommendations in adult patients for ambulatory surgery
Rev Esp Anestesiol Reanim. 2015 Jan;62(1):29-41.
doi: 10.1016/j.redar.2014.07.007.
Epub 2014 Aug 18.
[Article in
English,
Spanish]
Collaborators
-
Grupo de Trabajo de Pruebas Preoperatorias:
Affiliations
- 1 Servicio de Anestesiología-Reanimación y Terapéutica del Dolor, Hospital Universitario Gregorio Marañón, Universidad Complutense de Madrid, Madrid, España. Electronic address: mati@plagaro.net.
- 2 Servicio de Anestesiología-Reanimación y Terapéutica del Dolor, Hospital Abente y Lago, Complejo Hospitalario Universitario A Coruña, A Coruña, España.
- 3 Servicio de Anestesiología-Reanimación y Terapéutica del Dolor, Hospital Universitario y Politécnico La Fe, Valencia, España.
- 4 Servicio de Anestesiología-Reanimación y Terapéutica del Dolor, Hospital Universitario Clínico, Barcelona, España.
Abstract
Anesthetic assessment traditionally included a series of laboratory tests intended to detect undiagnosed diseases, and to ensure that the patient undergoes surgery following safety criteria. These tests, without a specific clinical indication, are expensive, of questionable diagnostic value and often useless. In the context of outpatient surgery, recent evidence suggests that patients of any age without significant comorbidity, ASA physical status gradei and grade ii, do not need additional preoperative tests routinely. The aim of the present recommendations is to determine the general indications in which these tests should be performed in ASA gradei and grade ii patients undergoing ambulatory surgery.
Keywords:
ASA grade i and ii patient; Cirugía ambulatoria; Day surgery; Pacientes ASA I y ASA II; Preoperative test; Pruebas preoperatorias.
Copyright © 2014 Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor. Publicado por Elsevier España, S.L.U. All rights reserved.
MeSH terms
-
Adult
-
Ambulatory Surgical Procedures*
-
Anesthesiology / methods*
-
Blood Chemical Analysis
-
Blood Coagulation Tests
-
Diagnostic Tests, Routine*
-
Electrocardiography
-
Humans
-
Medical History Taking
-
Physical Examination
-
Pregnancy Tests
-
Preoperative Care / legislation & jurisprudence
-
Preoperative Care / standards*
-
Radiography, Thoracic
-
Severity of Illness Index