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Published on: October 24, 2016
Effect of routine pre-anesthetic laboratory screening on pre-operative anesthesia-related decision-making in healthy
Krista Mitchell1, Michele Barletta1, Jane Quandt1
1Department of Small Animal Medicine and Surgery (Mitchell, Quandt, Shepard, Kleine, Hofmeister), Large Animal Medicine (Barletta), College of Veterinary Medicine, University of Georgia, Athens, Georgia 30602, USA.
Abstract:
The usefulness of pre-anesthetic laboratory screening of healthy veterinary patients is controversial and clear evidence-based guidelines do not exist. The purpose of our study was to determine the influence of preanesthetic laboratory screening on peri-anesthetic plans in canine patients undergoing elective surgery. One hundred medical records were randomly selected between the years 2008 and 2013 and patient information was presented to 5 Diplomates of the American College of Veterinary Anesthesia and Analgesia (ACVAA) for review. They were given pre-anesthetic laboratory screening test results for each patient and asked whether the results would change the way they managed the case from an anesthesia perspective. Peri-operative anesthetic management was altered in 79% of patients based on pre-anesthetic screening results; however, the overall agreement among anesthesiologists was weak with 64% of changes made by only a single anesthesiologist. Pre-anesthetic laboratory screening test results may influence pre-operative anesthesia case management but major discrepancies can occur among ACVAA diplomates.
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