From the Department of Anesthesia and Perioperative Medicine, Medical University of South Carolina, Charleston, South Carolina.
Anesth Analg. 2020 Feb;130(2):276-284. doi: 10.1213/ANE.0000000000004346.
Because the scope of anesthesia practice continues to expand, especially within the perioperative domain, our specialty must continually examine technological services that allow us to provide care in innovative ways. Telemedicine has facilitated the remote provision of medical services across many different specialties, but it remains somewhat unclear whether the use of telemedicine would fit within the practice of anesthesiology on a consistent basis. There have been several reports on the successful use of telemedicine within the preoperative and intraoperative realm. However, patient selection, patient and provider satisfaction, case cancellation rates, equipment reliability, and security of protected health information are just some of the issues that require further examination. This article seeks to review comprehensively the available literature related to the use of telemedicine within the preoperative, intraoperative, and postoperative phases of anesthetic care as well as analyze the major hurdles often encountered when implementing a teleconsultation service. Security of connection, data storage and encryption, federal and state medical licensure compliance, as well as overall cost/savings analysis are a few of the issues that warrant further exploration and research. As telemedicine programs develop within the perioperative arena, it is imperative for institutions to share knowledge, successes, and pitfalls to improve the delivery of care in today's technology-driven medical landscape.
由于麻醉实践的范围不断扩大，特别是在围手术期领域，我们的专业必须不断检查技术服务，以便我们能够以创新的方式提供护理。远程医疗已经促进了许多不同专业的远程医疗服务，但远程医疗是否能够在麻醉学的实践中得到一致应用仍然有些不清楚。已经有一些关于在术前和术中领域成功使用远程医疗的报告。然而，患者选择、患者和提供者满意度、病例取消率、设备可靠性以及保护健康信息的安全性只是需要进一步检查的一些问题。本文旨在全面审查与麻醉护理的术前、术中和术后阶段使用远程医疗相关的现有文献，并分析在实施远程咨询服务时经常遇到的主要障碍。连接的安全性、数据存储和加密、联邦和州的医疗许可合规性以及总体成本/节省分析是一些需要进一步探索和研究的问题。随着远程医疗计划在围手术期领域的发展，机构之间必须分享知识、成功经验和陷阱，以改善当今技术驱动的医疗环境中的护理提供。
