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Table 1 Protocol for the preoperative objective assessment of COVID-19 survivors, stratified based on nature of planned surgery and degree of index illness

From: Preparing previously COVID-19-positive patients for elective surgery: a framework for preoperative evaluation

Step/test Minor procedures and/or without general anesthesia Major procedures
Asymptomatic Symptomatic Asymptomatic Symptomatic
CXR No—if pulmonary exam and O2 sat normal No—if pulmonary exam and O2 sat normal Yes Yes
EKG Yes Yes Yes Yes
Echo No—if cardiac exam and vitals normal No—if cardiac exam, NT-pro-BNP, and vitals normal No—if cardiac exam, NT-pro-BNP, and vitals normal Determined by H&P
CMP Yes Yes Yes Yes
CBC, with diff Yes Yes Yes Yes
PTT No Consider based on severity of illness Yes Yes
D-dimer No Yes Yes Yes
Fibrinogen No Consider based on severity of illness Yes Yes
NT-pro-BNP No Yes Yes Yes
LDH, ferritin, prealbumin No Consider based on severity of illness No Consider based on severity of illness
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Perioperative Medicine

ISSN: 2047-0525

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