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Anesthesia and Intubation of Preadolescent Mouse Pups for Cardiothoracic Surgery
Published on: June 2, 2022
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[Routine preoperative testing in adults undergoing elective non-cardiothoracic surgery]
N Benahmed1, G Briat1, K Rondia1
1Centre fédéral d'Expertise des Soins de Santé (KCE), Bruxelles.
Revue Medicale De Bruxelles
|May 4, 2018
Summary
This guideline provides evidence-based recommendations for routine preoperative testing in adults undergoing elective non-cardiothoracic surgery, optimizing patient care and safety.
Area of Science:
- Health Policy
- Clinical Practice Guidelines
- Preoperative Medicine
Background:
- The Belgian Health Care Knowledge Center (KCE) developed a guideline for routine preoperative testing in adults.
- The guideline targets healthcare providers involved in preoperative and perioperative management.
Purpose of the Study:
- To provide clinicians with evidence-based recommendations for preoperative testing.
- To support informed decision-making for optimal patient care and safety.
Main Methods:
- Adapted an existing guideline from NICE (National Institute for Health and Care Excellence) for the Belgian context.
- Developed new clinical questions not covered in the NICE guideline.
Main Results:
- Recommended tests under specific conditions include ECG, full blood count, kidney function, haemostasis, urinalysis, and non-invasive cardiac stress imaging.
- Not routinely recommended tests: echocardiography, CPET, chest X-ray, polysomnography, lung function tests, HbA1c, liver function tests, and coronary CT angiography.
Conclusions:
- The guideline aids clinicians in selecting appropriate preoperative tests based on patient history and evidence.
- Tools are provided to enhance the practical application of the guideline in daily practice.
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