One purpose of medical clearance is to assess your personal risk(s) related to undergoing a surgical spine procedure. Medical or pre-operative clearance is a careful assessment of your personal risk(s) for neck or back surgery.
ECG is recommended before intermediate-risk procedures in patients with at least one clinical risk factor identified by the RCRI; those with two or more clinical risk factors are at significantly higher risk of a major cardiac event. ECG is not needed in patients undergoing low-risk procedures (Figure 1).Mar 15, 2013
Laboratory Assessment Preoperative glucose determination should be obtained in patients 45 years or older, as there are currently recommendations to screen everyone more than 45 years of age for diabetes mellitus15 and the presence of diabetes increases perioperative risks.Jul 15, 2000
High-risk operations have been defined as those with a mortality of >5%. This can be derived either from a procedure with an overall mortality of >5% or a patient with an individual mortality risk of >5%. Simple clinical criteria can be used to identify high-risk surgical patients.
Prior to noncardiac surgery, an electrocardiogram (ECG) is obtained in all patients with known cardiovascular disease, significant arrhythmia, or significant structural heart disease unless the patient is undergoing low-risk surgery (surgery associated with less than 1 percent morbidity/mortality, such as ambulatory Apr 8, 2021
The ACC/AHA guidelines recommend preoperative ECGs in patients with at least one clinical risk factor undergoing vascular surgical procedures, or patients with known coronary heart disease, peripheral arterial disease, or cerebrovascular disease undergoing at least intermediate-risk surgery.