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Remote cardiac evaluations before surgery are feasible and safe. This preanesthesia medical evaluation (PAME) protocol using telemedicine demonstrated high patient satisfaction and minimal complications, supporting its use in elective noncardiac procedures.

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Area of Science:

  • Cardiology
  • Anesthesiology
  • Health Informatics

Background:

  • Preanesthesia medical evaluation (PAME) is crucial for optimizing patients before surgery.
  • Traditional PAME can involve logistical challenges for patients.
  • Remote evaluation methods offer potential for improved accessibility and efficiency.

Purpose of the Study:

  • To evaluate the feasibility, safety, and patient satisfaction of a remote cardiac evaluation protocol.
  • To assess the utility of telemedicine in preanesthesia medical evaluations for noncardiac surgery.
  • To compare outcomes between remote and in-person PAME.

Main Methods:

  • A prospective study involving patients undergoing elective noncardiac surgery.
  • Patients utilized electronic devices for remote blood pressure and ECG monitoring.
  • Comparison between telemedicine-based PAME (tPAME) and in-person PAME (iPAME) groups.
  • Post-procedure complications and patient satisfaction surveys were analyzed.

Main Results:

  • 48 of 129 eligible patients participated (37.2% participation rate).
  • No major adverse cardiovascular events occurred in either the tPAME or iPAME groups.
  • One patient in the iPAME group experienced deep vein thrombosis/pulmonary embolism; another had an ER visit.
  • Patients reported high satisfaction with their PAME experience.

Conclusions:

  • Remote cardiac evaluation during PAME is a feasible and safe approach.
  • The protocol demonstrates high patient satisfaction, supporting its integration into routine care.
  • Telemedicine-based PAME can be effectively implemented for elective noncardiac surgical procedures.