Annals of Clinical Trials and Vaccines Research

Preoperative Assessment Open Access Articles

 Preoperative medical assessment is an essential part of patient anesthetic treatment and helps determine the services that will be required during surgery. Anamnesis, clinical records, physical evaluation, and laboratory and experimental testing [such as electrocardiogram ( ECG) and chest X-ray] can define preoperative patient risk. Evidence-based guidelines have been issued to rationalize the use of pre-operative tests and the use of such guidelines has been reported to result in a reduction in the number of pre-operative tests, without any impairment of patient safety. The cost reduction achieved through the application of these guidelines was quantified at both individual levels. At a consensus conference hosted by the Niguarda Hospital in Milan in 1996, an Italian multidisciplinary committee established the recommendations on preoperative assessment and laboratory and instrumental testing used in the present research. The recommendations discuss the pre-operative assessments for patients who perform scheduled surgical procedures. They also advise on the organizational aspects. The first component is considerably in accordance with the applicable guidance in other countries; but, to our understanding, the operational elements were regarded only by the Swedish Innovation Assessment Council. The anaesthetists listed the measures they considered useful for therapeutic assessments, and those they considered useful for medico-legal reasons only. On this basis, the vulnerability and route profile of and patient across the hospital's operational structure and the procedures that had been carried out in operation were restored  

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