Preoperative Profile
The Preoperative Profile is a comprehensive laboratory panel designed to assess a patient’s overall health status prior to surgical procedures. It helps identify risk factors that may affect anesthesia safety, blood coagulation processes, organ function, and the risk of infectious or hemorrhagic complications.
The included tests provide an integrated overview of the patient’s hematological, metabolic, hepatic, and renal status, as well as screening for major parenterally transmitted infections.
Indications
The profile is recommended:
- before elective or emergency surgical procedures;
- prior to invasive procedures with a risk of bleeding;
- as part of standard preoperative patient assessment;
- upon indication from a surgeon, anesthesiologist, or other specialists;
- for general clinical health evaluation.
Method of investigation (panel composition)
The profile includes assessment of:
- hematological and inflammatory status (complete blood count without ESR, ESR);
- glucose metabolism (glucose);
- liver function (ALT, AST);
- renal function (serum creatinine, urea);
- coagulation parameters (prothrombin index PT %, fibrinogen, INR, APTT);
- infectious disease screening (HBsAg – hepatitis B, total anti-HCV, HIV I/II antibodies, RPR – syphilis screening).
Procedure
The investigation involves venous blood sampling performed by qualified medical personnel under standardized conditions.
Limitations
Results should be interpreted in a clinical context, taking into account the patient’s medical history and the type of planned intervention.
Certain factors such as anticoagulant therapy, acute infections, liver disease, and hydration status may influence test results.
Preparation:
- Blood sampling is recommended in the morning;
- An 8–12-hour fasting period is preferable;
- Water intake is allowed;
- Avoid alcohol and intense physical activity 24 hours before testing;
- Inform the physician about any medications being taken, especially anticoagulants and antiplatelet agents.