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Vurdering før operasjon: Er det nødvendig?

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Før mindre inngrep og kortvarig bedøvelse (anestesi) til friske, yngre og fysisk aktive pasienter er det vanligvis ikke nødvendig med preoperative undersøkelser utover en grundig sykehistorie og vurdering av eventuell medikamentbruk. Før større inngrep, og alltid når små barn og eldre pasienter skal ha anestesi, bør det i tillegg til sykehistorien foretas en undersøkelse av hjerte og lunger. Behovet for å gjøre ytterligere preoperative undersøkelser vurderes ut fra sykehistorien, og hvilket inngrep som er planlagt.

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Vil du vite mer

Dette dokumentet er basert på det profesjonelle dokumentet Preoperativ vurdering . Referanselisten for dette dokumentet vises nedenfor

  1. Garcia-Miguel FJ, Serrano-Agular PG, Lopez-Bastida J. Preoperative assessment. Lancet 2003; 362: 1749-57. PubMed
  2. Holt NF. Perioperative cardiac risk reduction. Am Fam Physician 2012; 85: 239-46. American Family Physician
  3. Feely MA, Collins S, Daniels PR, et al. Preoperative testing before noncardiac surgery: guidelines and recommendations. Am Fam Physician 2013; 87: 414-8. American Family Physician
  4. De Hert S, Imberger G, Carlisle J, et al. Task Force on Preoperative Evaluation of the Adult Noncardiac Surgery Patient of the European Society of Anaesthesiology, Preoperative evaluation of the adult patient undergoing non-cardiac surgery: guidelines from the European Society of Anaesthesiology. Eur J Anaesthesiol 2011;28: 68. PubMed
  5. McMillan MT, Allegrini V, Asbun HJ, Ball CG, Bassi C, Incorporation of Procedure-specific Risk Into the ACS-NSQIP Surgical Risk Calculator Improves the Prediction of Morbidity and Mortality After Pancreatoduodenectomy. Ann Surg. 2017 May;265(5):978-986. PMID: 27232260. PubMed
  6. Stonelake S, Thomson P, Suggett N. Identification of the high risk emergency surgical patient: Which risk prediction model should be used? Ann Med Surg (Lond). 2015;26: 440. PubMed
  7. De Hert S, Imberger G, Carlisle J, et al. Task Force on Preoperative Evaluation of the Adult Noncardiac Surgery Patient of the European Society of Anaesthesiology, Preoperative evaluation of the adult patient undergoing non-cardiac surgery: guidelines from the European Society of Anaesthesiology. Eur J Anaesthesiol 2011;28: 684. PubMed
  8. Jans Ø, Jørgensen C, Kehlet H, Johansson PI. Role of preoperative anemia for risk of transfusion and postoperative morbidity in fast-track hip and knee arthroplasty. Transfusion 2014;54: 717. PubMed
  9. Duceppe E, Patel A, Chan MTV, et al. Preoperative N-Terminal Pro–B-Type Natriuretic Peptide and Cardiovascular Events After Noncardiac Surgery: A Cohort Study. Ann Intern Med, 24 December 2019. doi:10.7326/M19-2501 DOI
  10. Spreng UJ, Støen R. Forberedelser til anestesi. I:. Norsk Legemiddelhåndbok, publisert 19.01.2016.
  11. Lindenauer PK, Pekow P, Wang K, Mamidi DK, Gutierrez B, Benjamin EM. Perioperative beta-blocker therapy and mortality after major noncardiac surgery. N Engl J Med 2005; 353: 349-61. New England Journal of Medicine
  12. Bouri S, Shun-Shin MJ, Cole GD, et al. Meta-analysis of secure randomised controlled trials of beta-blockade to prevent perioperative death in non-cardiac surgery. Heart 2013 Jul 31. doi: 10.1136/heartjnl-2013-304262. DOI
  13. Winchester DE, Wen X, Xie L, Bavry AA. Evidence of preprocedural statin therapy: a meta-analysis of randomized trials. J Am Coll Cardiol 2010; 56: 1099-1109. PubMed
  14. Brady M, Kinn S, Stuart P. Preoperative fasting for adults to prevent perioperative complications. Cochrane Database Syst Rev 2003; (4): CD004423. Cochrane (DOI)
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