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305-545-9292

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305-661-6336

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  • SERVICES
    • SERVICES
    • Wellness and Prevention
      • Immunizations for Children
      • Vaccinations
      • Weight Loss
      • Hyperbaric Oxygen Therapy Miami
      • Physical Exams
      • Immigration Physicals
      • DOT Physicals
      • Pre-Employment Physical Examinations
      • FAA Physicals and Commercial Pilots
      • Hormone Replacement Therapy
    • Everyday Care
      • Cyst Removal
      • Lacerations, Cuts & Wounds
      • Flu Symptoms
      • Skin Tag Removal
      • Ear Pain and Ear Wax Removal
      • Back Pain
      • Migraines and Headaches
      • Joint Injection
      • Eye Infections
      • IV Therapy
      • HIV and STD
    • Screenings and Exams
      • Osteopathic Manipulation
      • Pre-Op Testing
      • Spirometry
      • X-Rays
      • Skin Biopsy
      • EKG
      • Ultrasounds
      • Pap Smears
      • Cholesterol screenings
      • Diabetes Screenings
      • Blood Pressure Screening
      • Cancer Screening
      • Lab Services
    • VIP Medicare Program
  • Dr Fox Office Locations
  • TELEMEDICINE
    • TELEMEDICINE
    • TeleVisits
  • ABOUT
    • ABOUT
    • Payments
  • CONTACT
  • PATIENT PORTAL
  • FIND A CLINIC

PRE-OP TESTING

Medical consultants are generally asked to assess preoperative risk in most patients who are to undergo surgery. Even if you are a relatively healthy person, pre-op testing and laboratory is often necessary if you are to undergo an elective surgical procedure. A general systems examination should identify obvious abnormalities:

  • Cardiovascular system – heart murmur. With the exception of emergency surgery, patients should be hemodynamically stable and their vital signs normal before starting anesthesia
  • Respiratory system – abnormal breath sounds
  • Gastrointestinal system – abdominal masses, previous scars
  • Musculoskeletal system – skeletal malformations such as kyphoscoliosis
  • General – local skin infection
PREOPERATIVE TESTS

Routine preoperative testing (preoperative screening) of healthy people undergoing elective surgery is not recommended. Instead, a selective strategy, as outlined above, is safe and cost-effective as long as a complete medical history and physical examination are obtained. Based on the available evidence, our primary care doctors and healthcare professionals recommend the following preoperative tests:

  • Hemoglobin level for major surgery with significant expected blood loss or in patients 65 years or older
  • Serum creatinine level for people older than 50 years
  • Pregnancy testing in all reproductive age-group women
  • ECG in patients undergoing high-risk surgery (eg, vascular surgery) or intermediate-risk surgery and with at least one risk factor
  • CXR in patients older than 60 years

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