Practice advisory for preanesthesia evaluation: 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 re-

[1]  I. R. Thomson,et al.  Improved cardiac risk stratification in major vascular surgery with dobutamine-atropine stress echocardiography. , 1995, Journal of the American College of Cardiology.

[2]  V. Chan,et al.  Anaesthesia for transsphenoidal surgery in a patient with extreme gigantism. , 1988, British journal of anaesthesia.

[3]  D. Rubenstein,et al.  Screening investigations in the elderly. , 1981, Age and ageing.

[4]  A. Markewitz,et al.  Hemodynamic changes due to intraoperative testing of the automatic implantable cardioverter defibrillator: implications for anesthesia management. , 1993, Journal of cardiothoracic and vascular anesthesia.

[5]  M. Ishaq,et al.  Value of routine pre-operative chest X-ray in patients over the age of 40 years. , 1997, JPMA. The Journal of the Pakistan Medical Association.

[6]  D. S. Kitz,et al.  The utility of preoperative electrocardiograms in the ambulatory surgical patient. , 1992, Archives of internal medicine.

[7]  B. Lytle,et al.  Correlation of preoperative myocardial function, perfusion, and metabolism with postoperative function at rest and stress after bypass surgery in severe left ventricular dysfunction. , 1999, The American journal of cardiology.

[8]  E. S. Rader Hematologic screening tests in patients with operative prostatic disease. , 1978, Urology.

[9]  G. Diamond,et al.  Analysis of probability as an aid in the clinical diagnosis of coronary-artery disease. , 1979, The New England journal of medicine.

[10]  S. Malviya,et al.  Preoperative pregnancy testing in adolescents. , 1996, Anesthesia and analgesia.

[11]  The value of routine preoperative medical testing before cataract surgery , 2000 .

[12]  A. Biagini,et al.  Preoperative assessment of coronary artery disease in aortic stenosis: a dipyridamole echocardiographic study. , 1998, The Annals of thoracic surgery.

[13]  Á. Atallah,et al.  Prospective assessment of the risk of postoperative pulmonary complications in patients submitted to upper abdominal surgery. , 1999, Sao Paulo medical journal = Revista paulista de medicina.

[14]  R. Klein,et al.  The value of routine preoperative chest roentgenograms in infants and children. , 1980, JAMA.

[15]  MarshaM . Cohen,et al.  Should You Cancel the Operation When a Child Has an Upper Respiratory Tract Infection? , 1991, Anesthesia and analgesia.

[16]  R. Bedford,et al.  Influence Of Preoperative Chest X-rays On The Perioperative Management Of Cancer Patients , 1987 .

[17]  K. Offord,et al.  Does preoperative antiplatelet therapy increase the risk of hemorrhagic complications associated with regional anesthesia , 1990 .

[18]  W. Lell,et al.  Patient care problems in patients undergoing reoperation for coronary artery grafting surgery , 1984, Canadian Anaesthetists' Society journal.

[19]  BARBARA J. Mudge,et al.  Perioperative hazards in myotonic dystrophy , 1980, Anaesthesia.

[20]  C. Summers,et al.  Children with mucopolysaccharidosis: perioperative care, morbidity, mortality, and new findings. , 1993, Journal of pediatric surgery.

[21]  A. Ogunseyinde Routine pre-operative chest radiographs in non-cardiopulmonary surgery. , 1988, African journal of medicine and medical sciences.

[22]  J. V. Van Sickels,et al.  Preoperative determination of susceptibility to malignant hyperthermia. , 1982, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.

[23]  W. Harris,et al.  Clinical evaluation and cost effectiveness of preoperative laboratory assessment on patients undergoing total hip arthroplasty. , 1989, Orthopedics.

[24]  M. Pfisterer,et al.  Long-term prognostic value of the preoperative 12-lead electrocardiogram before major noncardiac surgery in coronary artery disease. , 2006, American heart journal.

[25]  M. W. Jones,et al.  The value of routine preoperative investigations. , 1988, Annals of the Royal College of Surgeons of England.

[26]  M. Cohen,et al.  Postoperative complications: factors of significance to anaesthetic practice , 1987, Canadian journal of anaesthesia = Journal canadien d'anesthesie.

[27]  David S. Parsons,et al.  Preoperative Hemostatic Assessment of the Adenotonsillectomy Patient , 1990, Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery.

[28]  C. Chastang,et al.  Prospective assessment of a protocol for selective ordering of preoperative chest x-rays , 1988, Canadian journal of anaesthesia = Journal canadien d'anesthesie.

[29]  J. McGreevy,et al.  Rational preoperative evaluation. , 1986, Postgraduate medical journal.

[30]  T. Tami,et al.  Post‐Tonsillectomy bleeding: An evaluation of risk factors , 1987, The Laryngoscope.

[31]  E. Cook,et al.  Usefulness of transthoracic echocardiography as a tool for risk stratification of patients undergoing major noncardiac surgery. , 2001, The American journal of cardiology.

[32]  S. Rabkin,et al.  Preoperative electrocardiography: its cost-effectiveness in detecting abnormalities when a previous tracing exists. , 1979, Canadian Medical Association journal.

[33]  K. Kara,et al.  Value of preoperative spirometry to predict postoperative pulmonary complications. , 1996, Respiratory medicine.

[34]  A. Bader,et al.  Preoperative Electrocardiograms: Patient Factors Predictive of Abnormalities , 2007, Anesthesiology.

[35]  L. Fleisher,et al.  Preoperative dipyridamole thallium imaging and ambulatory electrocardiographic monitoring as a predictor of perioperative cardiac events and long-term outcome. , 1995 .

[36]  J. Gunter,et al.  Is the Pediatric Preoperative Hematocrit Determination Necessary? , 1992, Southern medical journal.

[37]  J. H. Diaz Halothane anesthesia in infancy: identification and correlation of preoperative risk factors with intraoperative arterial hypotension and postoperative recovery. , 1985, Journal of pediatric surgery.

[38]  R. Loder Routine pre‐operative chest radiography. 1977 compared with 1955 at Peterborough District General Hospital , 1978, Anaesthesia.

[39]  L. Wise,et al.  Perioperative management of a 430-kilogram (946-pound) patient with Pickwickian syndrome. , 1986, Anesthesia and analgesia.

[40]  J. Ramsay,et al.  Preoperative serum potassium levels and perioperative outcomes in cardiac surgery patients. Multicenter Study of Perioperative Ischemia Research Group. , 1999, JAMA.

[41]  J. Forrest,et al.  Efficacy of routine screening and lateral chest radiographs in a hospital-based population. , 1974, The New England journal of medicine.

[42]  J. Walker,et al.  Discussion of sensitivity to preservatives in anesthetics. , 1978, Journal of the American Dental Association.

[43]  L. Fatti,et al.  Preoperative pulmonary evaluation of surgical patients using the vitalograph , 1974, The British journal of surgery.

[44]  C. Ringsted,et al.  Anaesthetic practice and postoperative pulmonary complications , 1992, Acta anaesthesiologica Scandinavica.

[45]  D. Wijeysundera,et al.  Risk Associated with Preoperative Anemia in Noncardiac Surgery: A Single-center Cohort Study , 2009, Anesthesiology.

[46]  E. H. Courtiss,et al.  Value of preoperative chest X‐ray examinations in children , 1977, Pediatrics.

[47]  W. Henderson,et al.  Preoperative serum albumin level as a predictor of operative mortality and morbidity: results from the National VA Surgical Risk Study. , 1999, Archives of surgery.

[48]  W. B. Murray,et al.  Information yield from routine pre-operative chest radiography and electrocardiography. , 1992, South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde.

[49]  A. Messana,et al.  Common features associated with spinal-anesthesia-induced hypotension: A retrospective study , 1991, The Journal of the American Osteopathic Association.

[50]  T. Marwick,et al.  Usefulness of clinical risk markers and ischemic threshold to stratify risk in patients undergoing major noncardiac surgery. , 2002, The American journal of cardiology.

[51]  R. Owen,et al.  Do children need routine preoperative blood tests and blood cross matching in orthopaedic practice? , 1989, Annals of the Royal College of Surgeons of England.

[52]  M. Warner,et al.  Preoperative laboratory screening in healthy Mayo patients: cost-effective elimination of tests and unchanged outcomes. , 1991, Mayo Clinic proceedings.

[53]  V. Lawrence,et al.  Postoperative complications after thoracic and major abdominal surgery in patients with and without obstructive lung disease. , 1993, Chest.

[54]  Jeroen J. Bax,et al.  Prognostic value of routine preoperative electrocardiography in patients undergoing noncardiac surgery. , 2006, The American journal of cardiology.

[55]  R. Haug,et al.  A prospective evaluation of the value of preoperative laboratory testing for office anesthesia and sedation. , 1999, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.

[56]  G. Varela,et al.  Results of a simple exercise test performed routinely to predict postoperative morbidity after anatomical lung resection. , 2010, European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery.

[57]  S. Paul,et al.  Concordance of preoperative clinical risk with angiographic severity of coronary artery disease in patients undergoing vascular surgery. , 1996, Circulation.

[58]  R. Wood,et al.  Value of the chest X-ray as a screening test for elective surgery in children. , 1981, Pediatrics.

[59]  S. D. Gupta,et al.  Routine chest radiography in the elderly. , 1985, Age and ageing.

[60]  S. Rovida,et al.  Upper abdominal surgery: does a lung function test exist to predict early severe postoperative respiratory complications? , 1997, The European respiratory journal.

[61]  J. Wightman,et al.  A prospective survey of the incidence of postoperative pulmonary complications , 1968, The British journal of surgery.

[62]  V. Lawrence,et al.  The unproven utility of preoperative urinalysis. Clinical use. , 1988, Archives of internal medicine.

[63]  L. Goldman,et al.  CARDIAC RISK FACTORS AND COMPLICATIONS IN NON‐CARDIAC SURGERY , 1978, Medicine.

[64]  M. Freeman,et al.  Effect of anesthetic technique on cardiac morbidity following carotid artery surgery. , 1996, American journal of surgery.

[65]  M. Rohrer,et al.  A Prospective Evaluation of the Efficacy of Preoperative Coagulation Testing , 1988, Annals of surgery.

[66]  Murray Wb,et al.  Information yield from routine pre-operative chest radiography and electrocardiography. , 1992 .

[67]  M. Peterson,et al.  Supraventricular tachyarrhythmias during total joint arthroplasty. Incidence and risk. , 1993 .

[68]  E. Liu,et al.  The usefulness of routine preoperative chest X-rays and ECGs: a prospective audit. , 2003, Singapore medical journal.

[69]  K. Dorrington Asystole with convulsion following a subanaesthetic dose of propofol plus fentanyl , 1989, Anaesthesia.

[70]  J. Weigelt,et al.  Usefulness of preoperative laboratory assessment of patients undergoing elective herniorrhaphy. , 1992, Archives of surgery.

[71]  S. Erban,et al.  Routine use of the prothrombin and partial thromboplastin times. , 1989, JAMA.

[72]  S. Greenfield,et al.  ASA Physical Status and Age Predict Morbidity After Three Surgical Procedures , 1994, Annals of surgery.

[73]  D. Weaver,et al.  Usefulness of selective preoperative chest x-ray films. A prospective study. , 1987, The American surgeon.

[74]  E. Cook,et al.  Correlation Between Preoperative Ischemia and Major Cardiac Events After Peripheral Vascular Surgery , 1989, The New England journal of medicine.

[75]  W. Rathmann,et al.  High prevalence of undiagnosed impaired glucose regulation and diabetes mellitus in patients scheduled for an elective coronary angiography , 2006, Clinical Research in Cardiology.

[76]  R. Chioléro,et al.  Postoperative Arrhythmias and Risk Factors after Open Heart Surgery , 1991, The Thoracic and cardiovascular surgeon.

[77]  A. Contet,et al.  Pulmonary function tests predict outcome after cardiac surgery. , 1993, Acta anaesthesiologica Belgica.

[78]  The Effects of General Anesthesia on Upper Respiratory Tract Infections in Children , 1987, Anesthesiology.

[79]  J. Clarke,et al.  Prothrombin and partial thromboplastin times as preoperative screening tests. , 1982, Archives of surgery.

[80]  Linda L. Liu,et al.  Preoperative Electrocardiogram Abnormalities Do Not Predict Postoperative Cardiac Complications in Geriatric Surgical Patients , 2002, Journal of the American Geriatrics Society.

[81]  T. Pedersen,et al.  A prospective study of risk factors and cardiopulmonary complications associated with anaesthesia and surgery: risk indicators of cardiopulmonary morbidity , 1990, Acta anaesthesiologica Scandinavica.

[82]  V. Lawrence,et al.  Risk of pulmonary complications after elective abdominal surgery. , 1996, Chest.

[83]  L. Kitahata AIRWAY DIFFICULTIES ASSOCIATED WITH ANAESTHESIA IN ACROMEGALY , 1971 .

[84]  R. Pringle,et al.  The role of the routine pre-operative chest X-ray in the elderly general surgical patient , 1982, Postgraduate medical journal.

[85]  R. Farinotti,et al.  Left Ventricular Function during Propofol and Fentanyl Anesthesia in Patients with Coronary Artery Disease: Assessment with a Radionuclide Approach , 1988, Anesthesia and analgesia.

[86]  S. Emans,et al.  Evaluation of a pregnancy-testing protocol in adolescents undergoing surgery. , 1998, Journal of pediatric and adolescent gynecology.

[87]  J. Robbins,et al.  Partial thromboplastin time as a screening test. , 1979, Annals of internal medicine.

[88]  F. W. Wittmann,et al.  Anaesthesia for Hip Replacement in Ankylosing Spondylitis , 1986, Journal of the Royal Society of Medicine.

[89]  E. Phillips,et al.  Comparison of laparoscopic cholecystectomy in obese and non-obese patients. , 1994, The American surgeon.

[90]  C. Howell,et al.  Dobutamine stress echocardiography for preoperative cardiac risk stratification in patients undergoing orthotopic liver transplantation. , 1998, Liver transplantation and surgery : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society.

[91]  D. Mangano,et al.  Effects of steal-prone anatomy on intraoperative myocardial ischemia☆ , 1992 .

[92]  P. Rigo,et al.  Cardiac risk assessment before vascular surgery: a prospective study comparing clinical evaluation, dobutamine stress echocardiography, and dobutamine Tc-99m sestamibi tomoscintigraphy. , 1997, Cardiovascular surgery.

[93]  J. Catheline,et al.  Preoperative Cardiac and Pulmonary Assessment in Bariatric Surgery , 2008, Obesity surgery.

[94]  A. Yıldırır,et al.  Value of preoperative echocardiography in the prediction of postoperative atrial fibrillation following isolated coronary artery bypass grafting. , 2007, The American journal of cardiology.

[95]  T. Sharp,et al.  Determinants of longer duration of endotracheal intubation after adult cardiac operations. , 1997, The Annals of thoracic surgery.

[96]  R. Calverley,et al.  The anaesthetic management of tracheo-oesophageal fistula: A review of ten years’ experience , 1972, Canadian Anaesthetists' Society journal.

[97]  A. Keats,et al.  The Overstated Risk of Preoperative Hypokalemia , 1988, Anesthesia and analgesia.

[98]  G. Saviello,et al.  Myotonia Dystrophica—An Anesthetic Hazard: Two Case Reports , 1975, Anesthesia and analgesia.

[99]  C. Roberts,et al.  Routine preoperative chest radiography in non-cardiopulmonary surgery. , 1976, British medical journal.

[100]  N. Chamadol,et al.  The impact of routine preoperative chest X-ray in Srinagarind Hospital, Khon Kaen. , 1990, Journal of the Medical Association of Thailand = Chotmaihet thangphaet.

[101]  J. Planell,et al.  Value of routine preoperative tests: a multicentre study in four general hospitals. , 1995, British journal of anaesthesia.

[102]  A. Fingerhut,et al.  A prospective multicenter evaluation of preoperative hemostatic screening tests. The French Associations for Surgical Research. , 1995, American journal of surgery.

[103]  J. Reading,et al.  Risk factors for postoperative pneumonia. , 1981, The American journal of medicine.

[104]  L. Wise,et al.  Are routine preoperative laboratory screening tests necessary to evaluate ambulatory surgical patients? , 1988, Surgery.

[105]  W HUEGIN,et al.  [THE ROLE OF ANESTHESIA IN SURGICAL MORTALITY]. , 1965, Klinische Medizin; osterreichische Zeitschrift fur wissenschaftliche und praktische Medizin.

[106]  J. Brooks-Brunn Predictors of postoperative pulmonary complications following abdominal surgery. , 1997, Chest.

[107]  K. Bhuripanyo,et al.  The impact of routine preoperative electrocardiogram in patients age > or = 40 years in Srinagarind Hospital. , 1992, Journal of the Medical Association of Thailand = Chotmaihet thangphaet.

[108]  J B Forrest,et al.  Multicenter study of general anesthesia. III. Predictors of severe perioperative adverse outcomes. , 1992, Anesthesiology.

[109]  P. Sobotka,et al.  The value to the anesthesia-surgical care team of the preoperative cardiac consultation. , 1989, Journal of cardiothoracic anesthesia.

[110]  N. Edwards,et al.  Utilisation of the pre‐operative ECG , 1995, Anaesthesia.

[111]  G. Gravlee,et al.  Preoperative and Intraoperative Predictors of Inotropic Support and Long‐Term Outcome in Patients Having Coronary Artery Bypass Grafting , 1991, Anesthesia and analgesia.

[112]  V. Hertzberg,et al.  Prediction of cardiac and pulmonary complications related to elective abdominal and noncardiac thoracic surgery in geriatric patients. , 1990, The American journal of medicine.

[113]  J. Smolle,et al.  Operations on patients deemed “unfit for operation and anaesthesia”: What are the consequences? , 1998, Acta anaesthesiologica Scandinavica.

[114]  S. Cohen,et al.  The usefulness of preoperative laboratory screening. , 1985, JAMA.

[115]  S. Colan,et al.  Perioperative complications in patients with anthracycline chemotherapeutic agents , 1985, Canadian Anaesthetists' Society journal.

[116]  J. Gold,et al.  Postoperative renal dysfunction can be predicted. , 1990, Surgery, gynecology & obstetrics.

[117]  R. Fletcher,et al.  Pre‐operative chest X‐rays in elderly patients , 1982, Anaesthesia.

[118]  F. McAlister,et al.  Incidence of and risk factors for pulmonary complications after nonthoracic surgery. , 2005, American journal of respiratory and critical care medicine.

[119]  M. Wax,et al.  Value of Preoperative Prothrombin Time/Partial Thromboplastin Time as a Predictor of Postoperative Hemorrhage in Pediatric Patients Undergoing Tonsillectomy , 1997, Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery.

[120]  A. Mushlin,et al.  How useful are routine chest x-rays of preoperative patients at risk for postoperative chest disease? , 2007, Journal of General Internal Medicine.

[121]  R. Buhl,et al.  The value of preoperative chest X-rays in gynecological patients , 2004, Archives of Gynecology and Obstetrics.

[122]  J. Ramsay,et al.  Preoperative serum potassium levels and perioperative outcomes in cardiac surgery patients. Multicenter Study of Perioperative Ischemia Research Group. , 1999, JAMA.

[123]  P. Macfarlane,et al.  The role of myocardial perfusion scanning, heart rate variability and D-dimers in predicting the risk of perioperative cardiac complications after peripheral vascular surgery. , 2001, European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery.

[124]  J. Morrison,et al.  Prediction of Hemorrhage at Cesarean Delivery , 1994, Obstetrics and gynecology.

[125]  M. Salem,et al.  Preoperative Pregnancy Testing in Ambulatory SurgeryIII , 1996 .

[126]  R. Crago,et al.  Anaesthetic considerations in idiopathic orthostatic hypotension and the shy-drager syndrome , 1979, Canadian Anaesthetists' Society journal.

[127]  K. Mandal,et al.  Preoperative Electrocardiographic Risk Assessment of Atrial Fibrillation After Coronary Artery Bypass Grafting , 2004, Journal of cardiovascular electrophysiology.

[128]  F. Chung,et al.  Sleep apnoea syndrome and anaesthesia , 1982, Canadian Anaesthetists' Society journal.

[129]  D. Gregori,et al.  Usefulness of routine pre-operative chest radiography for anaesthetic management: a prospective multicentre pilot study. , 1999, European journal of anaesthesiology.

[130]  T. David,et al.  Coronary artery bypass grafting in patients with poor ventricular function. Cardiovascular Surgeons of the University of Toronto. , 1992, The Journal of thoracic and cardiovascular surgery.

[131]  B. Alving,et al.  Hemostatic assessment of patients before tonsillectomy: a prospective study. , 1994, Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery.

[132]  J. Tinker,et al.  Myocardial reinfarction after anesthesia and surgery. , 1979, JAMA.

[133]  J. Earnshaw,et al.  The value of QTc dispersion in assessment of cardiac risk in elective aortic aneurysm surgery. , 1998, European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery.

[134]  Carmen Gomar,et al.  Prediction of Postoperative Pulmonary Complications in a Population-based Surgical Cohort , 2010, Anesthesiology.

[135]  G. L. Olsson Bronchospasm during anaesthesia. A computer‐aided incidence study of 136 929 patients , 1987, Acta anaesthesiologica Scandinavica.

[136]  G. Gensini,et al.  Preoperative cardiac assessment in patients undergoing aortic surgery: analysis of factors affecting the cardiac outcomes. , 2010, Annals of vascular surgery.

[137]  G. Vanzetto,et al.  Additive value of thallium single-photon emission computed tomography myocardial imaging for prediction of perioperative events in clinically selected high cardiac risk patients having abdominal aortic surgery. , 1996, The American journal of cardiology.

[138]  W. Browner,et al.  Perioperative Myocardial Ischemia: Importance of the Preoperative Ischemic Pattern , 1988, Anesthesiology.

[139]  Y. Amoateng-Adjepong,et al.  Preoperative pulmonary function tests do not predict outcome after coronary artery bypass. , 1997, Connecticut medicine.

[140]  R. Poe,et al.  Can Postoperative Pulmonary Complications After Elective Cholecystectomy Be Predicted? , 1988, The American journal of the medical sciences.

[141]  J. Coselli,et al.  A prospective study of respiratory failure after high-risk surgery on the thoracoabdominal aorta. , 1992, Journal of vascular surgery.

[142]  E. Antman,et al.  Current incidence and determinants of perioperative myocardial infarction in coronary artery surgery. , 1996, American heart journal.

[143]  J. Freischlag,et al.  Using dipyridamole-thallium imaging to reduce cardiac risk in aortic reconstruction. , 1996, The Journal of surgical research.

[144]  J. Rabinowitz,et al.  Preoperative chest radiography: value as a baseline examination for comparison. , 1987, Radiology.

[145]  A. Bowdle,et al.  Hypokalemia Before Induction of Anesthesia and Prevention by &bgr;2 Adrenoceptor Antagonism , 1991, Anesthesia and analgesia.

[146]  H. Stein,et al.  Efficacy of preadmission testing in ambulatory surgical patients. , 1992, American journal of surgery.

[147]  J. Lerman,et al.  Is preoperative haemoglobin testing justified in children undergoing minor elective surgery? , 1991, Canadian journal of anaesthesia = Journal canadien d'anesthesie.

[148]  A Kazmers,et al.  Preoperative spirometry predicts perioperative pulmonary complications after major vascular surgery. , 1992, The American surgeon.

[149]  G. Bochicchio,et al.  Admission Preoperative Glucose is Predictive of Morbidity and Mortality in Trauma Patients who Require Immediate Operative Intervention , 2005, The American surgeon.

[150]  Jeroen J. Bax,et al.  Perioperative cardiovascular mortality in noncardiac surgery: validation of the Lee cardiac risk index. , 2005, The American journal of medicine.

[151]  S. Goldfarb,et al.  Clinical usefulness of measuring prothrombin time as a routine admission test. , 1976, Clinical chemistry.

[152]  S. Mannino,et al.  Exposure to Environmental Tobacco Smoke and the Risk of Adverse Respiratory Events in Children Receiving General Anesthesia , 1998, Anesthesiology.

[153]  S. K. Clark,et al.  A risk-specific anesthesia consent form may hinder the informed consent process. , 1991, Journal of clinical anesthesia.

[154]  H. Feringa,et al.  Usefulness of preoperative oral glucose tolerance testing for perioperative risk stratification in patients scheduled for elective vascular surgery. , 2008, The American journal of cardiology.

[155]  W. Tweed,et al.  The Canadian four-centre study of anaesthetic outcomes: III. Are anaesthetic complications predictable in day surgical practice? , 1992, Canadian journal of anaesthesia = Journal canadien d'anesthesie.

[156]  T. David,et al.  Coronary artery bypass grafting in patients with poor ventricular function , 1992 .

[157]  J. Dudley,et al.  Last-minute preoperative cardiology consultations: epidemiology and impact. , 1996, American heart journal.

[158]  M. Staten,et al.  Usefulness of screening chest roentgenograms in preoperative patients. , 1984, JAMA.

[159]  M. Hutchinson,et al.  Aspiration pneumonia and coma — an unusual presentation of dystrophica myotonia , 1986, Canadian Anaesthetists' Society journal.

[160]  R. Twersky,et al.  Preoperative pregnancy testing: "justice and testing for all". , 1996, Anesthesia and analgesia.

[161]  T. Kurki,et al.  Preoperative prediction of postoperative morbidity in coronary artery bypass grafting. , 1996, The Annals of thoracic surgery.

[162]  Jastak Jt,et al.  Major morbidity or mortality from office anesthetic procedures: a closed-claim analysis of 13 cases. , 1991 .

[163]  R. Pringle,et al.  The role of the routine pre-operative electrocardiogram in the elderly surgical patient. , 1983, Age and ageing.

[164]  Samuel Lee,et al.  Prediction of Cardiac Complications After Liver Transplantation , 2009, Transplantation.

[165]  S. Mattila,et al.  Local anaesthesia in carotid surgery. A prospective study of 111 endarterectomies in 100 patients. , 1984, Scandinavian journal of thoracic and cardiovascular surgery.

[166]  G Sandler,et al.  Costs of unnecessary tests. , 1979, British medical journal.

[167]  Christos D. Karkos F.R.C.S.Ed.,et al.  Prediction of Cardiac Risk prior to Elective Abdominal Aortic Surgery: Role of Multiple Gated Acquisition Scan , 2003, World Journal of Surgery.

[168]  George A Wells,et al.  The Value of Routine Preoperative Electrocardiography in Predicting Myocardial Infarction After Noncardiac Surgery , 2007, Annals of surgery.

[169]  I. Khan,et al.  Preoperative work up: are the requirements different in a developing country? , 1998, JPMA. The Journal of the Pakistan Medical Association.

[170]  R. Peters,et al.  Routine preoperative exercise testing in patients undergoing major noncardiac surgery. , 1985, The American journal of cardiology.

[171]  A. Smerling,et al.  Bronchospasm during anaesthesia: A computeraided incidence study of 136,929 patients , 1988 .

[172]  Rosselló Pj,et al.  Routine laboratory tests for elective surgery in pediatric patients: are they necessary? , 1980 .

[173]  D. Clarke-Pearson,et al.  Variables associated with postoperative deep venous thrombosis: A prospective study of 411 gynecology patients and creation of a prognostic model , 1987, Obstetrics and gynecology.

[174]  M. Schell,et al.  Factors Associated with Postoperative Pulmonary Complications in Patients with Severe Chronic Obstructive Pulmonary Disease , 1995, Anesthesia and analgesia.

[175]  K. Tremper,et al.  Evaluation of the efficacy of routine preoperative electrocardiograms. , 1997, Journal of cardiothoracic and vascular anesthesia.

[176]  R. Hannallah,et al.  Preoperative screening for pediatric ambulatory surgery: evaluation of a telephone questionnaire method. , 1992, Anesthesia and analgesia.

[177]  J. Rutledge,et al.  The clinical impact of increased sensitivity PT and APTT coagulation assays. , 1999, American Journal of Clinical Pathology.

[178]  H. Braunstein Efficacy of the routine admission urinalysis. , 1987, The American journal of medicine.

[179]  J. Leung,et al.  The Prevalence and Predictive Value of Abnormal Preoperative Laboratory Tests in Elderly Surgical Patients , 2001, Anesthesia and analgesia.

[180]  J. von Knorring Postoperative myocardial infarction: a prospective study in a risk group of surgical patients. , 1981, Surgery.

[181]  A. Crawford,et al.  The Role of Preoperative Pulmonary Function Tests in Patients With Adolescent Idiopathic Scoliosis Undergoing Posterior Spinal Fusion , 1997, Spine.

[182]  K. Drasner,et al.  Preoperative Laboratory Testing of Children Undergoing Elective Surgery , 1990, Anesthesia and analgesia.

[183]  L. Brath,et al.  Do "screening" coagulation tests predict bleeding in patients undergoing fiberoptic bronchoscopy with biopsy? , 1994, Chest.

[184]  S. Vitkun,et al.  Arterial oxygen desaturation in adult dental patients receiving conscious sedation. , 1989, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.

[185]  M. Ritter,et al.  Predictors of transfusion risk in elective knee surgery. , 1998, Clinical orthopaedics and related research.

[186]  L. Fleisher,et al.  Perioperative- and long-term mortality rates after major vascular surgery: the relationship to preoperative testing in the medicare population. , 1999, Anesthesia and analgesia.

[187]  A. Fingerhut,et al.  Are routine preoperative chest radiographs useful in general surgery? A prospective, multicentre study in 3959 patients. Association des Chirurgiens de l'Assistance Publique pour les Evaluations médicales. , 1996, The European journal of surgery = Acta chirurgica.

[188]  D. Grimes,et al.  Routine Prothrombin Time Determination Before Elective Gynecologic Operations , 1991, Obstetrics and gynecology.

[189]  Spencer S. Liu,et al.  Prolonged PR Interval Is a Risk Factor for Bradycardia During Spinal Anesthesia , 1994, Regional Anesthesia & Pain Medicine.

[190]  S. Handler,et al.  Preoperative history and coagulation screening in children undergoing tonsillectomy. , 1992, Pediatrics.

[191]  J. Naessens,et al.  Significance of mildly elevated creatine kinase (myocardial band) activity after elective abdominal aortic aneurysmectomy. , 1991, Journal of cardiothoracic and vascular anesthesia.

[192]  A. Maseri,et al.  Risk stratification of patients undergoing peripheral vascular revascularization by combined resting and dipyridamole echocardiography. , 1998, The American journal of cardiology.

[193]  T. Rao,et al.  Angina and Other Risk Factors in Patients With Cardiac Diseases Undergoing Noncardiac Operations , 1990, Anesthesia and analgesia.

[194]  J. Lusson,et al.  Assessment of Cardiac Risk before Aortic Reconstruction: Noninvasive Work-up Using Clinical Examination, Exercise Testing, and Dobutamine Stress Echocardiography versus Routine Coronary Arteriography , 1999, Annals of vascular surgery.

[195]  S. Manning,et al.  Predictive factors for respiratory complications after tonsillectomy and adenoidectomy in children. , 1997, Archives of otolaryngology--head & neck surgery.

[196]  K. Offord,et al.  Role of preoperative cessation of smoking and other factors in postoperative pulmonary complications: a blinded prospective study of coronary artery bypass patients. , 1989, Mayo Clinic proceedings.

[197]  D. Liepert,et al.  IMPROVED HEMODYNAMIC AND RENAL FUNCTION WITH CLONIDINE IN CORONARY ARTERY BYPASS GRAFTING , 1990 .

[198]  P. Lotke,et al.  Urinary-bladder management after total joint-replacement surgery. , 1988, The New England journal of medicine.

[199]  W. Korte,et al.  Preoperative Values of Molecular Coagulation Markers Identify Patients at Low Risk for Intraoperative Haemostatic Disorders and Excessive Blood Loss , 1998, Clinical chemistry and laboratory medicine.

[200]  Don Poldermans,et al.  Incidence and prediction of major cardiovascular complications in head and neck surgery , 2010, Head & neck.

[201]  C. Coté,et al.  Preoperative pregnancy testing in a tertiary care children's hospital: a medico-legal conundrum. , 1999, Journal of clinical anesthesia.

[202]  S. Freier,et al.  Salicylate Intoxication Treated with Intermittent Positive-pressure Respiration , 1957, British medical journal.

[203]  A. Mooradian,et al.  Usefulness of Routine Preoperative Chest Roentgenograms in Elderly Patients , 1987, Journal of the American Geriatrics Society.

[204]  J. Turnbull,et al.  The value of preoperative screening investigations in otherwise healthy individuals. , 1987, Archives of internal medicine.

[205]  M. Salem,et al.  Preoperative Pregnancy Testing in Ambulatory Surgery: Incidence and Impact of Positive Results , 1995, Anesthesiology.

[206]  Increased intraoperative cardiovascular morbidity in diabetics with autonomic neuropathy. , 1989, Anesthesiology.

[207]  A. Berchuck,et al.  Preoperative Coagulation Testing on a Gynecologic Oncology Service , 1994, Obstetrics and gynecology.

[208]  M M Cohen,et al.  Physical status score and trends in anesthetic complications. , 1988, Journal of clinical epidemiology.

[209]  F. D'Amico,et al.  An epidemiologic approach to predictors of elective coronary artery bypass mortality in a non-university hospital population. , 1994, Journal of cardiothoracic and vascular anesthesia.

[210]  J. vonKnorring Postoperative myocardial infarction: a prospective study in a risk group of surgical patients. , 1981 .

[211]  P. Rosselló,et al.  Routine laboratory tests for elective surgery in pediatric patients: are they necessary? , 1980, Boletin de la Asociacion Medica de Puerto Rico.

[212]  T. Reilley,et al.  Analysis of risk factors for postoperative pulmonary complications in head and neck surgery , 1992, The Laryngoscope.

[213]  V. Velanovich Preoperative Screening Electrocardiography: Predictive Value for Postoperative Cardiac Complications , 1994, Southern medical journal.

[214]  A. Montoya,et al.  Electrical Activity On Cardiopulmonary Bypass Is Not Associated With Myocardial Infarction , 1990 .