How Relevant are Surgical Profile Tests Done Pre-operatively in Minor and Medium Surgical Procedures? - An Analytical Clinical Study
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2017, Vol 5, Issue 4
Abstract
Background: All the patients undergoing surgery are ordered to undergo a battery of tests collectively named as surgical profile. The advantage of surgical profile is to reduce morbidity and mortality during and immediately after surgery. It also tends to reduce the cost of perioperative care and pre-operative anxiety. Surgical profile also includes few additional tests undertaken following clinical examination to reduce the surgical-anaesthetic risk. Aim: The advantage of ordering pre-operative surgical profile in evaluating the surgical risk in patients undergoing minor and medium surgical procedures. Materials and Methods: The present study is a prospective and descriptive cross-sectional study of 1150 patients evaluated pre-operatively during the pre-anesthetic checkups in the Department of Anaesthesiology, Government Medical College Hospital, Thiruvananthapuram, Kerala. Patients undergoing minor and medium surgeries belonging to American Society of Anesthesiologists Grade-I; aged 3 to 50 years were included in the study. The surgical profile ordered in them were hemoglobin, total blood count, erythrocyte sedimentation rate, coagulation profile, electrocardiogram, X-ray chest, fasting blood sugar, serum creatinine, blood urea, sodium and potassium levels, viral screening and Hbs Ag. Few additional tests were ordered to confirm the clinical diagnosis of the condition of the patients wherever necessary to help reduce intraoperative time. Results: Totally, 10,395 investigations were carried out pre-operatively for the 1150 patients. Among the total tests, 175 were observed as abnormal (15.21%). Among the patients with abnormal laboratory tests a change in approach for further management was undertaken in 62/175 (35.42%) but overall incidence of change in the treatment course was (62/1150), 05.39%. Conclusion: Pre-operative surgical profiles should not be undertaken as a tradition, but should be based on thorough clinical examination, nature of surgical procedure, anesthetic technique, and clinical status of the patient.
Authors and Affiliations
C G Jayachandran, S Harikrishnan, Linette J Morris
Keywords
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