Results and Clinical-Anesthetic Repercussion of Preoperative Complementary Tests in ASA-I Patients Scheduled for Ambulatory Surgery

Abstract

Introduction: The selection of preoperative laboratory tests (specific tests or imaging tests) should be done, as a complementary measure, in the case of clinical suspicion. Indiscriminate and routine request is unnecessary and implies additional costs for the institution, in addition to the possibility of false positive results, with more or less serious repercussions for patients.

Objective: To highlight the results and the clinical-anesthetic repercussion of complementary preoperative examinations in ASA-I patients who arrive for ambulatory surgery at Comandante Pinares General Teaching Hospital in San Cristóbal Municipality, Artemisa Province, during the year 2017.

Method: An observational, descriptive, cross-sectional study was carried out at Comandante Pinares General Teaching Hospital in San Cristóbal Municipality, Artemisa Province, during the year 2017. The universe was represented by 823 patients who underwent ambulatory surgery. The sample consisted of 394 patients, following nonprobabilistic, intentional selection criteria.

Results: The sex with the highest prevalence of surgeries was the female sex (65.98%). The most frequent ages were between 18 and 30 years. The most performed elective surgery was cholecystectomy (43.18%). Regarding the paraclinical examinations performed, a low incidence of alterations was detected; the perioperative complication detected was hypertensive crisis (0.50%).

Conclusion: The results of the complementary examinations were normal in most of the patients, without repercussions or changes in the clinical anesthetic behavior. In addition, they generated high expenses for the health institution.