Anesthesia, Exanimation, Surgery
Conditions
Keywords
Pre-anesthetic tests, NICE-UK guidlines, Kasr Alaini hospital
Brief summary
Routine preoperative tests aim to identify asymptomatic diseases that can't be recognized by history and examination. Identification and management of these diseases is thought to help minimizing perioperative morbidity and mortality. A large number of routine screening tests increase the cost of perioperative care. Also unneeded tests may harm the patient due to overtreatment for borderline / false positive results. Therefore, the routine use of such examinations remains controversial. The National Institute of Health and Clinical Excellence (NICE-UK) guidelines for preoperative examination are the assessment standard developed by NICE in collaboration with the National Collaboration Center for Acute Care in the UK; in order to reduce unnecessary tests by recommending which tests should be offered to people before minor and major operations. The aim of this study is to assess the degree of adherence of the current preoperative tests at Kasr Alaini hospital to the NICE guidelines, to assess the effectiveness and usefulness of the current practice of various examinations ordered by anesthesiologists during the pre-anesthetic evaluation in patients who are intended for elective surgery in the hospital and to also evaluate the cause of delay & its effect to predict postoperative complications.
Interventions
DIAGNOSTIC_TESTAdult patients scheduled for an elective general surgical operation.
The anesthesiologist, who is in charge of preoperative assessment at each hospital unit, will assess patients who are scheduled for elective surgery; and will inform senior anesthesiologists (with a minimum 3 years of experience) & consultant anesthesiologists, about the patients' data. Patients data with all requested preoperative investigations & required preparations, peri-operative course and post-operative outcome will be collected.
Sponsors
Nazmy Edward Seif
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* All adult patients scheduled for elective surgical operations.
Exclusion criteria
* Patients operated upon an emergency basis. * Pregnant females. * Patients scheduled for cardio-thoracic and neurosurgical procedures.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Degree of Adherence to NICE-UK Guidelines | one week | The degree of adherence of the current practices at Kasr Alaini hospital preoperative testing to the NICE-UK guidelines, determined as a percentage. |
Countries
Egypt
Outcome results
None listed