Journal of Anaesthesiology Clinical Pharmacology

REVIEW ARTICLE
Year
: 2011  |  Volume : 27  |  Issue : 2  |  Page : 174--179

Role of routine laboratory investigations in preoperative evaluation


Aditya Kumar, Uma Srivastava 
 Department of Anaesthesia and Critical Care, SN Medical College, Agra - 282 002, India

Correspondence Address:
Uma Srivastava
Department of Anaesthesia and Critical Care, SN Medical College, Agra - 282 002
India

Traditionally, routine investigations prior to surgery are considered an important element of preanesthetic evaluation to determine the fitness for anesthesia and surgery. During past few decades this practice has been a subject of close scrutiny due to low yield and high aggregate cost. Performing routine screening tests in patients who are otherwise healthy is invariably of little value in detecting diseases and in changing the anesthetic management or outcome. Thorough history and investigation of positive answers by the clinicians, combined with physical examination of patient represents the best method for screening diseases followed by few selective tests as guided by patient«SQ»s health condition, invasiveness of planned surgery and potential for blood loss. A large number of investigations which are costly to pursue often detect minor abnormalities of no clinical relevance, may be risky to patients, cause unnecessary delay or cancellation of surgery, and increase medico-legal liability. An approach of selective testing reduces cost without sacrificing safety or quality of surgical care.


How to cite this article:
Kumar A, Srivastava U. Role of routine laboratory investigations in preoperative evaluation.J Anaesthesiol Clin Pharmacol 2011;27:174-179


How to cite this URL:
Kumar A, Srivastava U. Role of routine laboratory investigations in preoperative evaluation. J Anaesthesiol Clin Pharmacol [serial online] 2011 [cited 2019 Nov 21 ];27:174-179
Available from: http://www.joacp.org/article.asp?issn=0970-9185;year=2011;volume=27;issue=2;spage=174;epage=179;aulast=Kumar;type=0