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]

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.

Publication types

  • Practice Guideline

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