Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Video

Updated: May 14, 2026

E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
06:28

E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy

Published on: August 1, 2019

Telemedicine pre-anesthesia evaluation: a randomized pilot trial.

Richard L Applegate1, Brett Gildea, Rebecca Patchin

  • 1Department of Anesthesiology, Loma Linda University School of Medicine, Loma Linda, California 92350, USA. rapplegate@llu.edu

Telemedicine Journal and E-Health : the Official Journal of the American Telemedicine Association
|February 7, 2013
PubMed
Summary

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Vasopressor Selection and Postoperative Delirium in Older Adults: A Propensity-Matched Database Analysis.

Seminars in cardiothoracic and vascular anesthesia·2026
Same author

Retraction Notice to "Anti-neutrophil antibody enhances the neuroprotective effects of G-CSF by decreasing number of neutrophils in hypoxic ischemic neonatal rat model" [Neurobiology of Disease 69 (2014) 192-199].

Neurobiology of disease·2026
Same author

Exogenous Sex Hormones and Postoperative Nausea and Vomiting Risk in Transgender Patients.

Anesthesia and analgesia·2026
Same author

In Response.

Anesthesia and analgesia·2025
Same author

Perioperative Implications of Antiretroviral Therapy: A Focus on Drug Interactions and Systemic Effects.

Anesthesia and analgesia·2025
Same author

A Retrospective Study of Ultramassive Transfusion in Trauma Patients: Is There a Value After Which Additional Transfusions Are Futile?

Anesthesia and analgesia·2025

Telemedicine pre-anesthesia evaluations are as effective as in-person visits, improving patient satisfaction and potentially saving time and costs without increasing surgical delays. This method offers a convenient alternative for pre-anesthesia care.

Area of Science:

  • Anesthesiology
  • Health Services Research

Background:

  • Inadequate pre-anesthesia evaluation can lead to perioperative complications, delays, and cancellations.
  • Telemedicine offers a potential solution to improve patient access and reduce inconvenience and costs associated with pre-anesthesia evaluations.

Purpose of the Study:

  • To investigate the impact of telemedicine pre-anesthesia evaluation on perioperative processes.
  • To compare telemedicine pre-anesthesia evaluation with traditional in-person evaluations.

Main Methods:

  • A single-center prospective randomized trial involving 200 adult patients undergoing head and neck surgery.
  • Patients were randomized to either in-person or telemedicine pre-anesthesia evaluation groups.
  • Primary outcome was inadequate evaluation causing surgical delay or cancellation; secondary outcomes included airway management prediction and physical exam concordance.

Related Experiment Videos

Last Updated: May 14, 2026

E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
06:28

E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy

Published on: August 1, 2019

Main Results:

  • No surgical delays or cancellations were attributed to inadequate pre-anesthesia evaluation in either group.
  • Telemedicine evaluations resulted in less missing documentation.
  • Prediction of difficult airway management was similar, with low positive predictive value.
  • Physical examinations showed high concordance with day-of-surgery documentation.
  • Both patients and providers reported high satisfaction with both telemedicine and in-person evaluations.

Conclusions:

  • Telemedicine and in-person pre-anesthesia evaluations are equivalent in terms of outcomes and satisfaction.
  • Telemedicine offers potential benefits in patient time savings and cost reduction without increasing surgical delays.
  • Further multi-center trials across various surgical specialties are recommended.