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Preoperative coagulation tests: A narrative review of current guidelines
J L Jover Pinillos1, R Ferrandis Comes2, D Zamudio Penko3
1Servicio Anestesiología y Reanimación, Hospital «Verge dels Lliris», Alcoy, Alicante, Spain.
Revista Espanola De Anestesiologia Y Reanimacion
|September 20, 2024
Summary
Routine preoperative hemostasis tests are often unnecessary. Clinical history and specific procedure details should guide the need for these blood coagulation tests, not indiscriminate screening.
Area of Science:
- Anesthesiology
- Hematology
- Surgical Care
Background:
- Preoperative hemostasis tests are standard practice to prevent surgical bleeding.
- The necessity of routine testing for all procedures is questioned.
Purpose of the Study:
- To evaluate the necessity of standard pre-procedure hemostasis tests.
- To determine if routine hemostasis testing is required for all patients undergoing procedures.
Main Methods:
- A narrative literature review was performed using PubMed.
- Searches included terms like "Hemostasis" and "Preoperative care".
- Recommendations from international societies were also reviewed.
Main Results:
- 14 relevant articles were identified from literature searches.
- Clinical history is crucial for identifying potential hemostasis disorders.
- Patient age, procedure complexity, and anesthetic technique can influence testing decisions.
Conclusions:
- Indiscriminate preoperative hemostasis testing is not recommended.
- Tests should be requested based on individual clinical history and procedure type.
- Screening questionnaires can aid in assessing bleeding risk.
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