Key result
Laboratory investigations and their indications for preoperative and postoperative treatment in high-risk surgical patients are discussed, with no quantitative data presented.
Expert discussion without data should not change perioperative lab practices; leaves open need for prospective trials.
In this summary, all that can be attempted is a brief discussion of some of the results obtained by laboratory investigations of several types of patients for whom the hazard of a major surgical operation is more serious than for the average patient. discussion will be of laboratory data, their significance, and their indications for certain preoperative and postoperative treatment of these patients. In the beginning, let me confess that nothing new is presented, but, on the contrary, I must recall something which is very old and with which all are familiar. When Lister had perfected his antiseptic technic, the surgeons who visited his clinic are said to have commented, This elaborate method is possible in Lister's operating room, because of the unusual energy, care and enthusiasm present there; but such infinite care of detail will not be possible in other surgeries. opinion has been completely disproved by
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William Thalhimer (1925) conducted a review in High-risk surgical patients. Laboratory investigations and their indications for preoperative and postoperative treatment in high-risk surgical patients are discussed, with no quantitative data presented.
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