Preoperatif biyokimyasal testlerin elektif cerrahi hastalarında etkin kullanımı

Hi: hu derlemede efektif cerrahi hastalarında ameliyat öncesi hangi biyokimyasal testlerin kullanımının gerekli hangilerinin ise geıeksi: olacağını belirlemeyi amaçladık Elektif cerrahi yapılacak olan hastaların ameliyattan önce değerlendirilmesi için istenen laboratuar testleri, anestezi ve cerrahi riskleri etkileyebilecek talimin edilmeyen durumların tespiti için kullanılır. Çoğu hastanenin elekti/ cerrahi öncesi hastalara hangi restleri uygulayacağına dair bir politikası olmakla birlikle rutin testlerin değerlendirilmesi yapıldığında klinik endikasyon olmadan yapılan preoperatif testler ameliyat sonrası sonuçları tahmin etmede yeterli olmadığından ve nadiren lıasta değerlendirmesini değiştirdiği için gereksiz masrafa neden olabilirler. Ameliyat öncesi testleri araştıran birçok çalışmada, cerrahi süreçte anormallik yaratan normal dışı laboratuar sonuçlarının sıklığı çok diişiik bulunduğu için ameliyat öncesi tıbbi hikâye ve fizik muayenede pozitif bulguları olan hastalara laboratuar testi islemek daha faydalı olacaktır. Ayrıca cerrahiden önceki 4 ay içinde yapılan laboratuar testleri normalse ve hastanın klinik durumunda herhangi bir değişiklik yoksa hiçbir testin tekrarlanmaması önerilebilir.

Effectively usage of the preoperative biochemical tests in elective surgery patients

We aimed to determine which biochemical tests are necessary and un-necessary before the elective surgery. Laboratory tests performed for the preoperative evaluation of the patients undergoing to the elective surgery are used to identify the unpredicted situations that could interfere with the evaluation of the risks faced in anesthesia and surgery. Most of the hospitals have the established policy about the usage of biochemical tests that should be performed before the elective surgery, but these tests can cause to the unnecessary cost since preoperative laboratory tests performed without clinical necessity is not sufficient to predict the postoperatif results and routine biochemical tests could change the patient management rarely. In most of the studies investigated the preoperatif diagnostic tests, routine biochemical tests would be more useful for only patients with positive sign in the medical history and physical examination, because prevalence of the abnormal laboratory tests interfere with the patient management was minimal. Moreover, if the biochemical tests performed within the 4-months of the surgery were normal and there was no change in the clinical condition of the patient, it would be recommended that routine biochemical tests should not be repeated.

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