ArticleJournal of anaesthesiology, clinical pharmacology
Routine preoperative testing of serum electrolytes, blood urea, serum creatinine in patients undergoing elective surgeries of minor and intermediate risk and its implications on anesthetic management: A prospective observational study.
Article in Journal of anaesthesiology, clinical pharmacology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
1 citing paper in PubMed.
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background and Aims: There is limited evidence to suggest that routine testing of serum electrolytes, blood urea, and serum creatinine in low-risk patients significantly improves surgical outcomes or reduces complications. This study aimed to evaluate the need of these investigations in patients of American Society of Anesthesiologists physical status (ASA-PS) I and II scheduled to undergo elective surgeries of minor and intermediate risk. Material and Methods: We conducted a prospective, observational study at a tertiary care hospital, involving 1166 patients aged 18-60 years with ASA-PS grades I and II, undergoing elective minor and intermediate-risk surgeries. Comprehensive preoperative evaluation included documentation of demographic data, medical history, medications, pre- and postoperative values of blood urea, serum creatinine, and serum electrolytes. The study design incorporated assessment of changes in anesthetic management, including ordering of repeat tests, specialist referrals, and surgery postponements or cancelations. Postoperative complications related to electrolyte disturbances were monitored. Statistical analysis included Chi-squared test for categorical variables and dependent Results: A total of 148 (12.69%) patients underwent repeat tests preoperatively; none of them experienced any postponements/cancelations or changes in anesthetic management. Statistically significant changes were observed in blood urea, serum creatinine, and serum electrolyte values across all anesthesia types and comorbidities ( Conclusions: Our study provides substantial evidence indicating that routine preoperative assessment of blood urea, serum creatinine, and serum electrolytes may not be necessary for ASA-PS I and II patients undergoing elective minor and intermediate-risk surgeries.
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