Cumplimiento de la normativa ASA sobre exámenes preoperatorios, en el Hospital Vicente Corral Moscoso. Cuenca. 2014

Abstract

Introduction: The preoperative tests have been routinely requested by almost all surgeons and anesthesiologists, without taking into account your medical history and the recommendations of the ASA, resulting in increased hospital stay or delay of the surgical procedure.

Objective: To determine the existing compliance between reviews requested in consultation pre-anesthetic and tests recommended by the ASA.

Methodology: an observational, descriptive, and cross-sectional study was conducted, through the review of medical histories of patients undergoing surgery scheduled in the “Hospital Vicente Corral Moscoso” in the city of Cuenca. The data were tabulated using the SPSS v18.

Results: was determined between the 25-39 years a 29.0% and among the 40 to 59 years a 30.8 %, there was a predominance of women (59.9 %). The 48.25 % were ASA 1, 44.98 % ASA 2, the 5.90 % ASA 3 and the 0.87 % ASA IV. By the type of surgery, the general surgery was 29.5 % and the surgery of intermediate complexity 50.0 %. It was determined that requested laboratory tests, imaging, and other tests. Draws attention that are not ordered tests for HIV and pregnancy testing. Compliance guides ASA is partial.

Conclusions: There is a need to be prioritized in the preoperative visit the history and physical examination and not so much the application of tests which must be carried out in a selective way and not routine.