Anemia in Pediatric Day-surgery Patients

Hackmann, Thomas; Steward, David J.; Sheps, Samuel B.

doi:10.1097/00000542-199107000-00006

Cited by 25 publications

(6 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In asymptomatic or nonselected patients, abnormal hemoglobin findings were reported in 0.5% to 65.4% of patients 8,70,107,114,[132][133][134][135][136][137][138][139][140] and led to cancellations or changes in management in 2.4 -28.6% of cases with abnormal findings (Category B2 evidence). 70,133,138,139 For selected or indicated patients, abnormal hemoglobin findings were reported in 54.0% of patients (Category B2 evidence). 114 Changes in clinical management were not reported.…”

Section: Electrocardiogram (Ecg)mentioning

confidence: 99%

Practice Advisory for Preanesthesia Evaluation

2012

Anesthesiology

531

View full text Add to dashboard Cite

An Updated Report by the American Society of Anesthesiologists Task Force on Preanesthesia Evaluation P RACTICE Advisories are systematically developed reports that are intended to assist decision-making in areas of patient care. Advisories provide a synthesis and analysis of expert opinion, clinical feasibility data, open forum commentary, and consensus surveys. Practice Advisories developed by the American Society of Anesthesiologists (ASA) are not intended as standards, guidelines, or absolute requirements, and their use cannot guarantee any specific outcome. They may be adopted, modified, or rejected according to clinical needs and constraints and are not intended to replace local institutional policies. Practice Advisories are not supported by scientific literature to the same degree as standards or guidelines because of the lack of sufficient numbers of adequately controlled studies. Practice Advisories are subject to periodic update or revision as warranted by the evolution of medical knowledge, technology, and practice. This document updates the "Practice Advisory for Preanesthesia Evaluation: A Report by the American Society of Anesthesiologists Task Force on Preanesthesia Evaluation," adopted by the ASA in 2001 and published in 2002.* Methodology A. Definition of Preanesthesia Evaluation The literature does not provide a standard definition for preanesthesia evaluation. For this Practice Advisory, preanesthesia evaluation is defined as the process of clinical assessment that precedes the delivery of anesthesia care for surgery and for nonsurgical procedures. For this Advisory, "perioperative" refers to the care surrounding operations and procedures. The preanesthetic evaluation is the responsibility of the anesthesiologist. Preanesthesia evaluation consists of the consideration of information from multiple sources that may include the patient's medical records, interview, physical examination, and findings from medical tests and evaluations. As part of the Updated by the Committee on Standards and Practice Parameters, Jeffrey L. Apfelbaum, M.D. (Chair),

show abstract

Section: Electrocardiogram (Ecg)mentioning

confidence: 99%

Practice Advisory for Preanesthesia Evaluation

2012

Anesthesiology

531

View full text Add to dashboard Cite

show abstract

“…There was no surgical delay and postoperatively, no related complications were recorded in this group of patients. The maximum serum glucose level in patients with unexpected abnormalities was 9 mmol/l, and studies have shown that the average preoperative serum glucose level goal preoperatively in known diabetics should be between 11.1 and 13.9 mmol/l [4,5]. Unexpected platelet abnormalities were above 90 !…”

Section: Discussionmentioning

confidence: 99%

“…Several studies [2][3][4][5][6] have shown that there is not much benefit from preoperative laboratory testing. Kaplan et al [2], McKee and Scott [3], Hackmann et al [4], Nigam et al [5], and Baron et al [6], all showed that no management changes were recorded in all of the patients with unexpected abnormal test results; these five studies collectively involved 8,341 patients.…”

Section: Discussionmentioning

confidence: 99%

A Prospective Evaluation of Preoperative Screening Laboratory Tests in General Surgery Patients

Alsumait¹,

Al-Humood

Ivanova³

et al. 2002

Med Princ Pract

View full text Add to dashboard Cite

Objective: To assess the value of routine biochemical and hematological screening of otherwise healthy patients prior to elective general surgery. Materials and Methods: Prospective laboratory screening tests were done for 1,000 consecutive patients undergoing elective general surgery at Mubarak Al-Kabeer Hospital, Kuwait, from January to August 1999. Patients with abnormal laboratory results were interviewed and examined preoperatively as part of the present study protocol, to identify a possible cause for the abnormal laboratory result. The perioperative course of these patients was also monitored. Results: Approximately 14% of the preoperative tests were abnormal, 9.2% of which was expected while 4.9% was unexpected; there was no change in the preoperative care of patients with unexpected abnormalities, nor was there surgical delay or related postoperative complication. Conclusion: The results indicate that laboratory tests should be selectively used when the patient has appropriate risk factors. Instead, greater emphasis should be placed on history and physical examination. Application of such policy will result in substantial financial savings that could be utilized to improve the health care system.

show abstract

“…In contrast, in women there is a constant increase of haemoglobin after 50 years of age followed by a slight decrease at an age of 70 years [3]. In contrast to elderly people, pre-operative anaemia is rare in children but is more likely to occur in those less than 1 year of age [4]. In the elderly population acute blood loss due to surgery was found to be the leading cause of anaemia [2,3].…”

Section: Discussionmentioning

confidence: 99%

Tolerance of Perisurgical Anaemia

Gombotz¹,

Schatz²

2002

Transfus Med Hemother

View full text Add to dashboard Cite

The tolerance to intra- and post-operative anaemia depends on type and duration of pre-existing anaemia, the patient’s cardiovascular status and the perisurgical blood loss. Serveral surveys found an increased risk of morbidity and mortality in patients with low perioperative haemoglobin levels, especially in combination with cardiovascular diseases. On the other hand a possible beneficial effect of the transfusion of red cells could be detected only in patients without myocardial ischaemia with a transfusion trigger below 6–7 g/dl and in patients with acute myocardial ischaemia with a transfusion trigger over 9–11 g/dl. Further prospective randomised studies with large patient numbers are necessary to find beneficial effects of blood transfusions on post-operative morbidity and mortality at least in subgroups of critically ill patients.

show abstract

Anemia in Pediatric Day-surgery Patients

Cited by 25 publications

References 0 publications

Practice Advisory for Preanesthesia Evaluation

Practice Advisory for Preanesthesia Evaluation

A Prospective Evaluation of Preoperative Screening Laboratory Tests in General Surgery Patients

Tolerance of Perisurgical Anaemia

Contact Info

Product

Resources

About