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 64
- Downloads 0
Reproductive Performance of Women with Fibroids
The association between fertility and fibroid is known, however a cause-effect relationship is not established. Majority of studies are from infertility centers or referral hospitals. A retrospective study was undertaken...
The Functional Outcome of Management of Acute Acromioclavicular Joint Disruption Using Tension Band Wiring
Injuries to the acromioclavicular (AC) joint represent a spectrum of soft tissue disruptions that can result in mild, transient pain to significant displacement, chronic pain & changes in shoulder biomechanics resulting...
Pattern of Antibiotic Sensitivity in Clinically Suspected Cases of Urinary Tract Infections: An Observation from a Tertiary Care Hospital in West Bengal
Background: Urinary Tract infections is a major cause of morbidity in both male and female. Fever and burning micturition are common presenting features. Common mode of treatment of patients presenting with UTI is antibi...
Range and Outcome of Perforation Peritonitis at a Tertiary Care Center- A Prospective Study
Introduction: Acute peritonitis by perforation is the most common type and almost 80% cases results from necrosis of digestive conduit, such as typhoid fever, duodenal ulcer perforation, tubercular perforation and mesent...
Intraperitoneal Hydrocortisone plus Bupivacaine Administration for Pain Relief after Laparoscopic Cholecystectomy, a Comparison with Bupivacaine Alone
Background: Laparoscopic Cholecystectomy (LC) has become the gold standard for treatment of benign Gall Bladder disease. Laparoscopy provides many benefits over conventional open procedures including faster recovery time...