Preoperative Investigations in ASA I and II Patients – Do We Really Follow Recommendations?
Journal Title: Journal of Medical Science And clinical Research - Year 2016, Vol 4, Issue 11
Abstract
Background: Pre-anaesthetic check up (PAC) is to assess the clinical condition of patient and advice necessary investigations. This ultimately helps in risk stratification of patients. Though there are recommendations for evaluating patients, it is not getting followed and investigative modalities are increasing and clinical touch is lacking. We aimed to show that the preoperative investigations needed to optimize patients for surgery are exceeding the recommendations. Methods: We carried a prospective, observational study in 200 ASA I and II patients, of either sex or any age group. The record of the investigations was done which was already advised and any advice further given by senior anaesthesiologist. Results: Though ASA I and II patients do not need most of the investigations, CBP, SE, RFT, coagulation profile, ECG and CXR were advised already by surgeons, in almost 100 % patients. TFT was already done in 15 (25%) patients of ASA II group posted for thyroid surgery, only in 5 (8.3%) patients it was needed to demand. ECHO also same way was already done in 63 (45%) patients of ASA I group and 46(76.7%) patients of ASA II group. Out of cardiology referrals, 14 (10%) was done by surgeons themselves and clearance for surgery was taken though belong to ASA class I
Authors and Affiliations
Dr Sapna Annaji Nikhar
Keywords
Related Articles
- EP ID EP214815
- DOI -
- Views 48
- Downloads 0
Intracranial Plasmacytoma with Unilateral Vision Loss: An Unusual Initial Presentation of Multiple Myeloma
Plasma cell neoplasms are clonal proliferation of plasma cells that produce a single class of immunoglobulin. Among the plasma cell neoplasms, both solitary plasmacytoma of bone and extra-osseous plasmacytoma can progres...
Nurses Knowledge on Prevention of Medication Error
Nurses are playing a vital role in caring the sick and wounded people. One of the important aspect in caring the patient is administration of medication to the patient. While caring patient, nurses must follow ten rights...
Epidemiology of Paediatric Open Globe Injuries
Purpose: To study the epidemiology of the paediatric open globe injuries (OGI) at tertiary care centre in central India in detail, such a way, that to reduce the incidences of OGI with the help of detailed epidemiologica...
A Clinical Trial to Study the Effect of 5 Week Core Strengthening Protocol on Shoulder Strength in Young Obese Individuals
It is already known that the core plays an important role in the kinetic chain, since it is the centre of all functional movements. Previous researches have proved that isometric shoulder exercises elicit greatest level...
Sudden fall into A Dry Well: Life Saved but Laterality Snuffed Out
An unexpected fall of an adult man into a dry well leads to an unusual injury of the right upper limb leading to permanent crippling .this case report dealt below is unusual in the sense, that such type of injury general...