Evidence Based Update

1. EXAMENES DE LABORATORIOSPREQUIRURGICOS UNIVERSIDAD INDUSTRIAL DE SANTANDER DEPARTAMENTO DE MEDICINA INTERNA SIMPOSIO EXAMENES COMPLEMENTARIOS EN MEDICINA INTERNA BASADOS EN LA EVIDENCIA Dr. AMEL J. BRACHO BALCAZAR,MD.FACP Internista

3. Evaluar a los pacientes buscando signos y síntomas de enfermedades pulmonares y cardiacasocultas o asintomáticas que puedan impactar en el resultado de la

4. Estimar el estado Funcional del paciente

5. Evaluar el Riesgo dado por el tipo de procedimiento quirúrgico

10. Examen físico

12. HEMOGLOBINA G.W. Smetana, D.S. Macpherson / MedClin N Am 87 (2003) 7–40

13. LEUCOCITOS G.W. Smetana, D.S. Macpherson / MedClin N Am 87 (2003) 7–40

14. PLAQUETAS G.W. Smetana, D.S. Macpherson / MedClin N Am 87 (2003) 7–40

15. ELECTROCARDIOGRAMA

16. TP G.W. Smetana, D.S. Macpherson / MedClin N Am 87 (2003) 7–40

19. Munro J, Booth A, Nicholl J — Routine preoperative testing: a systematic review of the evídence. Health Technol Assess,1997;1:1-62 Practice advisory for preanesthesia evaluation: ASA. Task Force on PreanesthesiaEvaluation. Anesthesiology, 2002;96:485-496 NationalCollaborating Centre forAcuteCare— Preoperatívetests — 2003. ttp//www.nice.org.uk/pdf/CG3NICEguideline.pdf 23/09/2005

20. ■ ■ ■ ■ ■ ■ ■ Munro J, Booth A, Nicholl J — Routine preoperative testing: as ystematic review of the evídence. Health Technol Assess,1997;1:1-62 Practice advisory for preanesthesia evaluation: ASA. Task Force on PreanesthesiaEvaluation. Anesthesiology, 2002;96:485-496 NationalCollaborating Centre forAcuteCare:Preoperatívet ests — 2003. ttp//www.nice.org.uk/pdf/CG3NICEguideline.pdf 23/09/2005

21. E.K.G. Munro J, Booth A, Nicholl J — Routine preoperative testing: asystematic review of the evídence. Health Technol Assess,1997;1:1-62 Practice advisory for preanesthesia evaluation: ASA. Task Force on PreanesthesiaEvaluation. Anesthesiology, 2002;96:485-496 NationalCollaborating Centre forAcuteCare— Preoperatívetests — 2003. ttp//www.nice.org.uk/pdf/CG3NICEguideline.pdf 23/09/2005

22. INDICACIONES SELECCIONADAS PARA EXAMENES DE LABORATORIO PREOPERATORIOS MedClin N Am 87 (2003) 7–40 ; Anesthesiology 2002; 96: 485-96 ; Chest 1999; 115 ( 5 Suppl): 96S-100S

23. Rx de Torax Munro J, Booth A, Nicholl J — Routine preoperative testing: asystematic review of the evídence. Health Technol Assess,1997;1:1-62 Practice advisory for preanesthesia evaluation: ASA. Task Force on PreanesthesiaEvaluation. Anesthesiology, 2002;96:485-496 NationalCollaborating Centre forAcuteCare— Preoperatívetests — 2003. ttp//www.nice.org.uk/pdf/CG3NICEguideline.pdf 23/09/2005

24. INDICACIONES SELECCIONADAS PARA EXAMENES DE LABORATORIO PREOPERATORIOS MedClin N Am 87 (2003) 7–40 ; Anesthesiology 2002; 96: 485-96 ; Chest 1999; 115 ( 5 Suppl): 96S-100S

25. Hb - Hcto Munro J, Booth A, Nicholl J — Routine preoperative testing: asystematic review of the evídence. Health Technol Assess,1997;1:1-62 Practice advisory for preanesthesia evaluation: ASA. Task Force on PreanesthesiaEvaluation. Anesthesiology, 2002;96:485-496 NationalCollaborating Centre forAcuteCare— Preoperatívetests — 2003. ttp//www.nice.org.uk/pdf/CG3NICEguideline.pdf 23/09/2005

26. INDICACIONES SELECCIONADAS PARA EXAMENES DE LABORATORIO PREOPERATORIOS MedClin N Am 87 (2003) 7–40 ; Anesthesiology 2002; 96: 485-96 ; Chest 1999; 115 ( 5 Suppl): 96S-100S

27. TP - TTPa Munro J, Booth A, Nicholl J — Routine preoperative testing: asystematic review of the evídence. Health Technol Assess,1997;1:1-62 Practice advisory for preanesthesia evaluation: ASA. Task Force on PreanesthesiaEvaluation. Anesthesiology, 2002;96:485-496 NationalCollaborating Centre forAcuteCare— Preoperatívetests — 2003. ttp//www.nice.org.uk/pdf/CG3NICEguideline.pdf 23/09/2005

28. INDICACIONES SELECCIONADAS PARA EXAMENES DE LABORATORIO PREOPERATORIOS MedClin N Am 87 (2003) 7–40 ; Anesthesiology 2002; 96: 485-96 ; Chest 1999; 115 ( 5 Suppl): 96S-100S

29. Bioquímica Sanguínea Munro J, Booth A, Nicholl J — Routine preoperative testing: asystematic review of the evídence. Health Technol Assess,1997;1:1-62 Practice advisory for preanesthesia evaluation: ASA. Task Force on PreanesthesiaEvaluation. Anesthesiology, 2002;96:485-496 NationalCollaborating Centre forAcuteCare— Preoperatívetests — 2003. ttp//www.nice.org.uk/pdf/CG3NICEguideline.pdf 23/09/2005

30. INDICACIONES SELECCIONADAS PARA EXAMENES DE LABORATORIO PREOPERATORIOS MedClin N Am 87 (2003) 7–40 ; Anesthesiology 2002; 96: 485-96 ; Chest 1999; 115 ( 5 Suppl): 96S-100S

31. Pruebas de Función Pulmonar Munro J, Booth A, Nicholl J — Routine preoperative testing: asystematic review of the evídence. Health Technol Assess,1997;1:1-62 Practice advisory for preanesthesia evaluation: ASA. Task Force on PreanesthesiaEvaluation. Anesthesiology, 2002;96:485-496 NationalCollaborating Centre forAcuteCare— Preoperatívetests — 2003. ttp//www.nice.org.uk/pdf/CG3NICEguideline.pdf 23/09/2005

32. Ann InternMed. 2006,144:575-580

33.      Ann InternMed. 2006,144:575-580

34.           Ann InternMed. 2006,144:575-580

35. NICE

37. Grade 3 surgery ASA grado 1: Adultos (≥ 16 años) ASA grado 1: Niños (< 16 años) < 16 a > 40 < 1 año < 60 a > 80 5 – 12 años 12 – 16 años < 40 a > 60 1 – 5 años > 80 TEST TEST

38. Grade 3 surgery ASA grado 3 : Adultswithcomorbidityfrom CV disease ASA grado 2 : Adultswithcomorbidityfrom CV disease < 16 a > 40 < 16 a > 40 < 60 a > 80 < 60 a > 80 < 40 a > 60 < 40 a > 60 > 80 > 80 TEST TEST

39. ESQUEMA SUGERIDO POR SCARE Rev Col Anest 2004;32(1):11-6 Rev. Col. Anest. vol.33 no.4 Bogotá Oct./Dec. 2005

40. GUIAS PARA EXAMENES DE LABORATORIO PREQUIRURGICOS PACIENTES SIN ENFERMEDAD ASOCIADA AnesthAnalg 2011;112:207-12

41. GUIAS PARA EXAMENES DE LABORATORIO PREQUIRURGICOS AnesthAnalg 2011;112:207-12

42. GUIAS PARA EXAMENES DE LABORATORIO PREQUIRURGICOS AnesthAnalg 2011;112:207-12

43. GUIAS PARA EXAMENES DE LABORATORIO PREQUIRURGICOS AnesthAnalg 2011;112:207-12

45. Examen físico

47. Programa de Valoración Prequirúrgica para Cirugía No Cardíaca