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Pre-surgical check-up: what parameters should be tested?
There are numerous conditions where delaying or avoiding an elective procedure may be sensible. In the author`s practice approximately 10 percent of all presumed-to-be-normal pets have some abnormality that constitutes a rational reason to delay or forego the procedure. Another 11 percent had a blood abnormality that altered the anesthetic program. Which parameters are mandatory before surgery?

Parameters recommended depend from a number of factors (age, breed, trauma ...) and are individual. Generally, the following should be considered as the minimum data base:

1. Routine elective procedures on young, presumed healthy animals (`Basic tests`):
CBC, ALT, ALKP, BUN, Creatinine, Glucose, TP, sodium, potassium, chloride

2. Routine elective procedures, minor surgery or dental care in older, presumed healthy animals:
see 1. plus albumine, calcium, T4 (only cats)

3. Procedures in non-healthy animals or procedures in higher risk categories:
see 2. plus Total Bilirubine, cholesterol, amylase, phosphorus, urinalysis

Alterations of the planned protocol then include using sedation accompanied by local anesthesia instead of general anesthesia or preloading with intravenous fluids and so on - or treating the discovered disease and perform the surgery later, if possible.


Source: Jim Irwin (2003): Do tests first: Pre-surgical blood work may eliminate variety of surprises. In: DVM InFocus Surgery November 1, 2003







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SMALL ANIMAL PRACTICE

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