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Lokal anestezi altında oral ve dental cerrahi operasyon geçiren hastaların preoperatif hemogram ve biyokimya değerleri

Year 2020, Volume: 45 Issue: 2, 439 - 447, 30.06.2020
https://doi.org/10.17826/cumj.672618

Abstract

Amaç: Bu çalışmanın amacı lokal anestezi altında oral cerrahi işlem geçiren hastaların preoperatif hemogram ve biyokimya değerlerinin araştırılmasıdır.
Gereç ve Yöntem: Çalışmaya Adıyaman Üniversitesi Diş Hekimliği Fakültesi’ne başvuran 1598 hasta dahil edildi. Hastalara ait yaş, cinsiyet gibi demografik bilgiler ile kan glukoz seviyesi (KGS), Aspartat Aminotransferaz (AST), Alanin Aminotransferaz (ALT), Gama-Glutamil Transpeptidaz (GGT), sodyum (Na), potasyum (K) ve kalsiyum (Ca) gibi biyokimya değerleri ve beyaz küre sayısı (WBC), Hemoglobin (HGB), Hemotaktit (HCT), Trombosit sayısı (PLT) gibi hemogram değerleri kaydedildi ve istatistiksel olarak analiz edildi.
Bulgular: İncelenen tüm hemogram ve biyokimyasal değerlerin hepsinde normal sınırların dışında seyreden anormal değerler görüldü. Bunlardan KGS, AST, ALT, GGT, WBC değerlerinde yüksek değerler; Na, Ca, HGB, HCT değerlerinde ise düşük değerler sayıca daha fazla bulundu. Referans aralığının dışında ölçülen anormal değerler cinsiyet bakımından değerlendirildiğinde istatistiksel olarak GGT’nin anlamlı şekilde erkeklerde; HGB ve PLT’nin ise anlamlı şekilde kadınlarda daha fazla sayıda görüldüğü bulundu. Anormal değerlerin yaş grupları bakımından ise istatistiksel olarak anlamlı şeklide 21-40 yaş arasında dağılım gösterdiği görüldü.
Sonuç: Detaylı tıbbi anamnez alınamayan hastalarda oral cerrahi işlemler öncesinde hemogram ve biyokimyasal testlerin alınmasının oluşabilecek olumsuz durumların eliminasyonu açısından önem arz ettiğini düşünmekteyiz.

Supporting Institution

Bulunmamaktadır.

References

  • 1. Finegan BA, Rashiq S, McAlister FA, O'Connor P. Selective ordering of preoperative investigations by anesthesiologists reduces the number and cost of tests. Can J Anaesth. 2005;52:575-80.
  • 2. Imasogie N, Wong DT, Luk K, Chung F. Elimination of routine testing in patients undergoing cataract surgery allows substantial savings in laboratory costs. A brief report. Can J Anaesth. 2003;50:246-8.
  • 3. Nardella A, Pechet L, Snyder LM. Continuous improvement, quality control, and cost containment in clinical laboratory testing. Effects of establishing and implementing guidelines for preoperative tests. Arch Pathol Lab Med. 1995;119:518-22.
  • 4. Fischer SP. Development and effectiveness of an anesthesia preoperative evaluation clinic in a teaching hospital. Anesthesiology. 1996;85:196-206.
  • 5. Tsai YD, Wang CP, Chen CY, Lin LW, Hwang TZ, Lu LF, et al. Pretreatment circulating monocyte count associated with poor prognosis in patients with oral cavity cancer. Head Neck. 2014;36:947-53.
  • 6. Dzankic S, Pastor D, Gonzalez C, Leung JM. The prevalence and predictive value of abnormal preoperative laboratory tests in elderly surgical patients. Anesth Analg. 2001;93:301-8.
  • 7. Campbell IT, Gosling P. Preoperative biochemical screening. BMJ. 1988;297:803-4.
  • 8. Buyukdevrim S, Yılmaz MT, Satman I, Dinccag N, Karsıdag K, Altuntas Y. Introduction to Diabetes, Standardization of Laboratory and Clinical Diagnostic Criteria (5th ed). İstanbul: Fatih Ofset, 1996.
  • 9. Joslin EP, Kahn CR. Joslin's Diabetes Mellitus. (Eds C. Ronald Kahn) Lippincott, Williams & Wilkins, 2005.
  • 10. Roizen MF. Preoperative laboratory testing: necessary or overkill? Can J Anaesth. 2004;51:R53-8.
  • 11. Dilek I, Altun S, Tuncer I, Uygan I, Topal C, Aksoy H. Evaluation of hemoglobin, hematocrit values, erythrocyte indices and etiologic causes in iron deficiency anemia. Van Med J. 2000;7:51-6.
  • 12. George-Gay B, Parker K. Understanding the complete blood count with differential. J Perianesth Nurs. 2003;18:96-114.
  • 13. Kozek-Langenecker S. Management of massive operative blood loss. Minerva Anestesiol. 2007;73:401-15.
  • 14. Toker A, Girgin NK, Turker G, Kutlay O. Is Preoperative Routine Laboratory Tests Necessary for Small and Medium Surgical Interventions? Dicle Med J. 2008;35:120-7.
  • 15. Turnbull JM, Buck C. The value of preoperative screening investigations in otherwise healthy individuals. Arch Intern Med 1987;147:1101-5.
  • 16. Ajimura FY, Maia AS, Hachiya A, Watanabe AS, Nunes Mdo P, Martins Mde A, et al. Preoperative laboratory evaluation of patients aged over 40 years undergoing elective non-cardiac surgery. Sao Paulo Med J. 2005;123:50-3.
  • 17. Hirsch IA, Tomlinson DL, Slogoff S, Keats AS. The overstated risk of preoperative hypokalemia. Anesth Analg. 1988;67:131-6.

Preoperative hemogram and biochemistry values of patients undergoing oral and dental surgical operations under local anesthesia

Year 2020, Volume: 45 Issue: 2, 439 - 447, 30.06.2020
https://doi.org/10.17826/cumj.672618

Abstract

Purpose: The purpose of this study is to investigate the preoperative hemogram and biochemistry values of patients who undergo oral and dental surgical operations under local anesthesia.
Materials and Methods: The study included 1598 patients who visited the Faculty of Dentistry at Adıyaman University. The patients’ demographic information as age and sex and biochemistry values as blood glucose level (BGL), Aspartate Aminotransferase (AST), Alanine Aminotransferase (ALT), Gama-Glutamyl Transpeptidase (GGT), sodium (Na), potassium (K) and calcium (Ca) and hemogram values as white blood cell count (WBC), Hemoglobin (HGB), Hematocrit (HCT) and Platelet count (PLT) were recorded and statistically analyzed.
Results: There were abnormal values outside the normal limits in all hemogram and biochemical values that were examined. Among these, high values of BGL, AST, ALT, GGT and WBC and low values of Na, Ca, HGB and HCT were more frequent. When the values measured outside the reference ranges were examined in terms of sex, it was seen that the GGT values were significantly higher in the men, while the HGB and PLT values were significantly higher in the women. The abnormal values were distributed significantly more among the age group of 21-40.
Conclusion: In patients from whom detailed medical anamnesis is not collected, it is believed that taking hemogram and biochemical tests before oral surgical procedures is important in terms of elimination of negative issues that may arise.

References

  • 1. Finegan BA, Rashiq S, McAlister FA, O'Connor P. Selective ordering of preoperative investigations by anesthesiologists reduces the number and cost of tests. Can J Anaesth. 2005;52:575-80.
  • 2. Imasogie N, Wong DT, Luk K, Chung F. Elimination of routine testing in patients undergoing cataract surgery allows substantial savings in laboratory costs. A brief report. Can J Anaesth. 2003;50:246-8.
  • 3. Nardella A, Pechet L, Snyder LM. Continuous improvement, quality control, and cost containment in clinical laboratory testing. Effects of establishing and implementing guidelines for preoperative tests. Arch Pathol Lab Med. 1995;119:518-22.
  • 4. Fischer SP. Development and effectiveness of an anesthesia preoperative evaluation clinic in a teaching hospital. Anesthesiology. 1996;85:196-206.
  • 5. Tsai YD, Wang CP, Chen CY, Lin LW, Hwang TZ, Lu LF, et al. Pretreatment circulating monocyte count associated with poor prognosis in patients with oral cavity cancer. Head Neck. 2014;36:947-53.
  • 6. Dzankic S, Pastor D, Gonzalez C, Leung JM. The prevalence and predictive value of abnormal preoperative laboratory tests in elderly surgical patients. Anesth Analg. 2001;93:301-8.
  • 7. Campbell IT, Gosling P. Preoperative biochemical screening. BMJ. 1988;297:803-4.
  • 8. Buyukdevrim S, Yılmaz MT, Satman I, Dinccag N, Karsıdag K, Altuntas Y. Introduction to Diabetes, Standardization of Laboratory and Clinical Diagnostic Criteria (5th ed). İstanbul: Fatih Ofset, 1996.
  • 9. Joslin EP, Kahn CR. Joslin's Diabetes Mellitus. (Eds C. Ronald Kahn) Lippincott, Williams & Wilkins, 2005.
  • 10. Roizen MF. Preoperative laboratory testing: necessary or overkill? Can J Anaesth. 2004;51:R53-8.
  • 11. Dilek I, Altun S, Tuncer I, Uygan I, Topal C, Aksoy H. Evaluation of hemoglobin, hematocrit values, erythrocyte indices and etiologic causes in iron deficiency anemia. Van Med J. 2000;7:51-6.
  • 12. George-Gay B, Parker K. Understanding the complete blood count with differential. J Perianesth Nurs. 2003;18:96-114.
  • 13. Kozek-Langenecker S. Management of massive operative blood loss. Minerva Anestesiol. 2007;73:401-15.
  • 14. Toker A, Girgin NK, Turker G, Kutlay O. Is Preoperative Routine Laboratory Tests Necessary for Small and Medium Surgical Interventions? Dicle Med J. 2008;35:120-7.
  • 15. Turnbull JM, Buck C. The value of preoperative screening investigations in otherwise healthy individuals. Arch Intern Med 1987;147:1101-5.
  • 16. Ajimura FY, Maia AS, Hachiya A, Watanabe AS, Nunes Mdo P, Martins Mde A, et al. Preoperative laboratory evaluation of patients aged over 40 years undergoing elective non-cardiac surgery. Sao Paulo Med J. 2005;123:50-3.
  • 17. Hirsch IA, Tomlinson DL, Slogoff S, Keats AS. The overstated risk of preoperative hypokalemia. Anesth Analg. 1988;67:131-6.
There are 17 citations in total.

Details

Primary Language English
Subjects Analytical Biochemistry, Clinical Sciences
Journal Section Research
Authors

Bilal Ege 0000-0002-1279-0893

Abdüssamed Geyik 0000-0002-8386-8619

Muhammed Yusuf Kurt 0000-0002-1360-276X

Mahmut Koparal 0000-0003-1817-1230

Publication Date June 30, 2020
Acceptance Date March 14, 2020
Published in Issue Year 2020 Volume: 45 Issue: 2

Cite

MLA Ege, Bilal et al. “Preoperative Hemogram and Biochemistry Values of Patients Undergoing Oral and Dental Surgical Operations under Local Anesthesia”. Cukurova Medical Journal, vol. 45, no. 2, 2020, pp. 439-47, doi:10.17826/cumj.672618.