Abstract
To estimate the frequency of perioperative morbidities in patients who underwent anesthesia and a surgical procedure with no preoperative laboratory testing. We conducted an electronic database search of medical records of 56,119 patients who underwent surgical or diagnostic procedures and anesthesia at Mayo Clinic Rochester in 1994 and found 5,120 who had no laboratory tests done within 90 days before the procedure. From this group, we randomly selected 1,044 patients (87 from each month) to document the absence of preoperative tests, the presence of preexisting disease (by organ system), the type of anesthetic agent, and the outcomes and tests intraoperatively and postoperatively. The 1,044 patients ranged in age from 0 to 95 years (median age, 21). No deaths or major perioperative morbidities occurred (0.0%; exact 95% confidence interval, 0.00 to 0.35%). Although 10 patients underwent blood typing and screening for antibodies immediately preoperatively, no blood transfusions were necessary. Intraoperatively, 17 laboratory tests and 1 electrocardiogram were obtained, and 3 results were abnormal. Postoperatively, 42 blood tests and 2 electrocardiographic procedures were performed. Five of the 42 blood tests showed abnormal res...Continue Reading
Citations
Aug 2, 2007·Annals of Surgery·Lee A Fleisher
Jul 21, 2011·Journal of Anaesthesiology, Clinical Pharmacology·Aditya Kumar, Uma Srivastava
Jan 20, 2000·The New England Journal of Medicine·M F Roizen
Sep 10, 2005·Journal of Thrombosis and Haemostasis : JTH·C S Kitchens
Jan 20, 2009·Anesthesia and Analgesia·Frances ChungDavid T Wong
Dec 23, 2011·Acta Anaesthesiologica Scandinavica·G FritschA Soennichsen
Jul 28, 2001·Anesthesia and Analgesia·L A Fleisher
Jun 22, 2002·Anaesthesia and Intensive Care·A E Greer, M G Irwin
Nov 24, 2006·The American Surgeon·William L Lanier
Aug 8, 2012·Annals of Surgery·Jaime Benarroch-GampelTaylor S Riall
Apr 5, 2016·Journal of Gynecologic Surgery·Tatnai L BurnettKaren McLean
Aug 31, 2001·The Journal of ECT·J E LaffertyK Isenberg
Aug 23, 2003·European Journal of Anaesthesiology·W A van KleiK G M Moons
Mar 7, 2003·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Ngozi ImasogieFrances Chung
Jun 29, 2005·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Barry A FineganPaul O'Connor
Nov 1, 1998·Paediatrics & Child Health
Aug 25, 2010·Obstetrics and Gynecology·Caryn M St ClairJason D Wright
Oct 26, 2005·Anesthesia and Analgesia·Ronald P OlsonDavid Lubarsky
Feb 26, 2013·European Journal of Anaesthesiology·Fanny BonhommeUNKNOWN French Society of Anaesthesia and Intensive Care
Jun 24, 2010·Anesthesiology·William L Lanier
Oct 8, 2013·Journal of Neurosurgery. Pediatrics·Fajer AlmesbahDarach Crimmins
Jun 18, 2017·PloS One·Atsushi KimuraKatsushi Takeshita
Oct 5, 2011·European Journal of Anaesthesiology·Maria FlammAndreas C Sönnichsen
Apr 23, 2011·Journal of Women's Health·Yakir SegevRon Auslender
Apr 20, 2013·Journal of the American Medical Informatics Association : JAMIA·Maria FlammAndreas C Soennichsen
Sep 30, 2015·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·David L ChenMariah R Brown
Mar 6, 2018·Anesthesia and Analgesia·Kurt RuetzlerLeif Saager
Dec 3, 2014·Anaesthesia·P K Mensah, R Gooding
Oct 4, 2006·Current Opinion in Anaesthesiology·L A Fleisher
Jul 11, 2014·Deutsches Ärzteblatt International·Andreas B BöhmerBernd Zwissler
Feb 9, 2021·Arthroplasty Today·Marc R AngerameJason M Jennings
Feb 11, 2003·The Medical Clinics of North America·Gerald W Smetana, David S Macpherson
May 22, 2010·Anesthesiology Clinics·Deborah C Richman
Jan 2, 2019·Journal of Clinical Anesthesia·Sara E NelsonJonathan P Wanderer