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- W2071247610 abstract "RESUMEN Muchas publicaciones estan de acuerdo en que los examenes paraclinicos prequirurgicos rutinarios no tienen utilidad en la valoracion del riesgo anestesico y recomiendan solicitarlos solo bajo criterios selectivos, y algunos proponen no solicitar ningun examen en forma rutinaria. Todo indica que la mayoria de estos examenes hubieran podido omitirse, pero la informacion al respecto es limitada pues los estudios publicados tienen fallas. No son controlados, no son estandarizados, son series de casos con muestras muy pequenas, y casi todos son retrospectivos. Por lo tanto no tenemos evidencia fuerte de la utilidad o no de los examenes de rutina, y ante ello la recomendacion es no eliminarlos ni solicitarlos como baterias indiscriminadas, sino pedirlos bajo ciertos indicadores como la edad, y estableciendo protocolos al respecto para cada centro. Palabras claves: Evaluacion, Examenes paraclinicos, evidencia. SUMMARY: There is agreement in many publications about of the inutility of the screening with batteries of preoperative laboratory tests for the assessment of the anesthetic risk. These papers recommends to solicit test only under selective parameters, and some authors do not solicit any. Most of the test may be omited, but the studies about this subject have biasses. They are no controlled trials and without standards, they are case series with very small samples, and almost all of them are retrospectives studies. That way, there aren’t strong evidence whether or not there is usefulness of the screening tests, and for that reason we must solicit them under some clinical indicators like age and not like unselective batteries, and under protocols written for every center." @default.
- W2071247610 created "2016-06-24" @default.
- W2071247610 creator A5045345236 @default.
- W2071247610 date "2003-01-01" @default.
- W2071247610 modified "2023-09-26" @default.
- W2071247610 title "Exámenes paraclínicos prequirúrgicos: Qué es evidencia?" @default.
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