Beruflich Dokumente
Kultur Dokumente
Khuri SF et al. The National Veterans Administration Surgical Risk Study: risk
adjustment for the comparative assessment of the quality of surgical care. J Am Coll
Surg 1995; 180:519-31.
AVALIAO PR-OPERATRIA
Etapas da avaliao pr-operatria:
Histria clnica minuciosa
Exame fsico pormenorizado
Se necessrio: exames complementares,
orientados pelos dados clnicos
Pasternak LR. Preoperative screening for ambulatory patients. Anesthesiol Clin North
America 2003; 21:229-42.
AVALIAO PR-OPERATRIA
Exames de rotina pr-operatria: realizados
com finalidade de identificar doena no
detectada pelo exame clnico, em pacientes
assintomticos e aparentemente saudveis
Arvidsson S. Preparation of adult patients for anesthesia and surgery. Acta Anaesthesiol
Scand 1996; 40: 962-70
Melo CML et al. Rev Col Bras Cir 1987; 14: 63-8
AVALIAO PR-OPERATRIA
Exames de rotina pr-operatria:
Inconvenientes:
Roghi A et al. Preoperative assessment of cardiac risk in noncardiac major vascular surgery.
Am J Cardiol 1999; 83: 169-74
AVALIAO PR-OPERATRIA
Exames de rotina pr-operatria: Custos
Espirometria pr-operatria e laparotomia
Guidelines & Protocols Advisory Committee (GPAC), Medical Services Commission, and
British Columbia Medical Association. Guideline for Pre-operative Testing, Reviewed 2003.
Victoria BC.Ministry of Health, 2003., apud Fernandes EO et al.
AVALIAO PR-OPERATRIA
Efeitos da avaliao pr-operatria
ambulatorial:
Reduo da permanncia hospitalar
Reduo do perodo de internao pr-
operatrio
Aumento do nmero de operaes
ambulatoriais
Foss JF et al. Economics of preoperative evaluation clinics. Curr. Opin. Anaesthesiol 2001;
14:559-62
Pollard JB. Economic aspects of an anesthesia preoperative evaluation clinic. Curr. Opin.
Anaesthesiol 2002; 15:257-61.
AVALIAO PR-OPERATRIA
Efeitos da avaliao pr-operatria
ambulatorial:
Reduo da permanncia hospitalar
Reduo em 30% das operaes suspensas
Aumento das internaes no mesmo dia do
procedimento