Value of Routine Preoperative Tests for Coagulation Before Elective Cranial Surgery. Results of an Institutional Audit and a Nationwide Survey of Neurosurgical Centers in Pakistan

The role of extended coagulation screening in adult cranial neurosurgery

“…These observations raise the question of routine preoperative screening and treatment of such avoidable risks, which has not been investigated as much. In fact, some authors advocate against even the routine preoperative assessment of PT and PTT, let alone extended coagulation profiling, in cases of negative bleeding history ( Akhunzada et al., 2018 ; Dützmann et al., 2012 ). Neurosurgical units adopting this dogma instead rely on standardized questionnaires to screen for possible abnormalities, which has been shown to alleviate economic expenses ( Harley et al., 2019 ).…”