[围手术期医学中的远程医疗]
[Telehealth in peroperative medicine].
作者信息
Ceruti Charlotte, Carry Pierre Yves, Ferrier Clémence, Friggeri Arnaud, Piriou Vincent
机构信息
Service d'anesthésie réanimation, centre hospitalier Lyon-Sud, hospices civils de Lyon, université Claude-Bernard-Lyon-1, 165, chemin du Grand-Revoyet, 69495 Pierre-Bénite cedex, France.
出版信息
Prat Anesth Reanim. 2020 Oct;24(5):243-249. doi: 10.1016/j.pratan.2020.08.001. Epub 2020 Sep 18.
Telemedicine is booming in every medical sector. Besides being one of the WHO's priorities to deal with health cost and accessibility issues in both industrial and developing countries, recent COVID-19 sanitary crisis showed that it could be precious to ensure continuity of care in conditions of crisis. Telehealth is developing in anaesthesia in the whole perioperative period. This review focuses on recent data from literature on anaesthetic preoperative assessment. Four main issues are discussed: (1) eligibility and feasibility of telemedicine for anaesthetic preoperative assessment; (2) its effectiveness regarding time of consultation, surgery cancellation rate and concordance of physical examination; (3) patients' satisfaction and; (4) its potential economic impact.
远程医疗在各个医疗领域都蓬勃发展。它不仅是世界卫生组织应对工业国家和发展中国家医疗成本及可及性问题的重点工作之一，近期的新冠疫情卫生危机也表明，在危机情况下确保医疗服务的连续性，远程医疗可能至关重要。远程健康在整个围手术期的麻醉领域正在不断发展。本综述聚焦于近期文献中有关麻醉术前评估的资料。讨论了四个主要问题：（1）远程医疗用于麻醉术前评估的适用性和可行性；（2）其在会诊时间、手术取消率及体格检查一致性方面的有效性；（3）患者满意度；（4）其潜在的经济影响。
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