ABSTRACT
Several publications challenge the usefulness about the prescription, known as routine, of the preoperative paraclinic examinations, and insist on the necessity to abandon this practice with a view to a selective proposal according the recommendations of acceptal protocoles. To rate the current state about the prescription of the preoperative investigations within the universitary hospital center lbn Rochd, we report a prospective study about 1000 cases operated on within the central unit in UHC lbn Rochd during four months. The mean age of collected patients is 43.3 +/- 20.5 years old with slight male predominance, 86.4% of the ASA I and 10.9% are classified ASA II. The preanesthesic consultation has been realised first in 56% of the cases, the preoperative visit concernced 81.5% of the cases. We conclude from this study that, in spite of the establishment of prenasthesic concultation and the preoperative visit, excessive prescription of preoperative paraclinic investigation is still used, this excess is due to several hindrances analysed with details in our study that must be defined in order to escape the superfluous investigations and to adapt the latters to "case by case" according the allowed recommendations