New Guidelines on Preoperative Tests

Hasta isteğine bağlı cerrahi müdahale öncesi uygulanan testler olumsuz yanları olmasına rağmen klinik uygulamalarda rutin olarak kullanılmaktadır. Her yıl milyonlarca insan cerrahi operasyona girerken ameliyat öncesi tek bir test bile büyük ekonomik öneme sahiptir. Kanıta dayalı tıp çağında, gereksiz ameliyat öncesi testlerin hasta üzerindeki yükünü ve olumsuz etkileri azaltmak için sağlık otoritesinin yanı sıra farklı bilimsel kurumlar / toplumlar bu konuda kılavuz / protokol / öneriler ortaya sunmuşlardır. Bununla birlikte, bu önerilerin kullanımı klinik uygulamada zayıftır. Mevcut koşullarda, ameliyat öncesi testler hakkındaki yeni NICE kılavuzuna kısa bir bakış açısı getirmekteyiz ve farklı yönergelerden ve tavsiyelerden azami fayda sağlamak için birkaç strateji önermekteyiz

Preoperatif Testlerle İlgili Kılavuzlardaki Son Yenilikler

Preoperative tests before elective surgeries are routine in clinical practice despite having negative recommendations for it. As millions of people undergo surgery every year, even a single preoperative test has huge economic impact. In the present era of evidence based medicine different scientific bodies / societies have come out with guidelines / protocols / recommendations on this issue to reduce the load of unnecessary preoperative tests and its burden and negative impacts on patients as well as health authority. However, the uses of these recommendations are poor in clinical practice. In the present communication we are putting brief insight in to the new NICE guideline on preoperative tests as well as suggesting few strategies to get maximum benefit out of different guidelines and recommendations

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