Tele-Anesthesia and Remote Supervision: Changing Perioperative and General Medical Care
Noura Thani Alrasheedi 1, Abdulrahman Jubran Alkhubran 1, Saud Dakhil S Alanazi 1, Saif Mohammed Abdulmohsen Al-Sahman 1, Abdulrahman A. Almoushawa 1, Abdulrhman Suliman Alturaif 1, Jamal Abdulrahman Almosa 1, Abdulrahman Fahad Aldosari 1
Integrative Biomedical Research (Journal of Angiotherapy) 7(1) 1-8 https://doi.org/10.25163/angiotherapy.7110317
Submitted: 05 June 2023 Revised: 14 August 2023 Published: 15 August 2023
Abstract
Tele-anesthesia and remote supervision models promote the use of telehealth technologies in delivering anesthesia care in order to improve access, efficiency, and patient outcomes in perioperative and general medical care settings. These models support preoperative assessments and remote patient monitoring; provide continuous postoperative care; and promote the integration of anesthesia care with the primary care ('medical home') model for patients who may lack direct access to anesthesia facilities and care such as patients in rural or otherwise underserved populations. This narrative review explains the effectiveness of tele-anesthesia and describes how it has been implemented in the clinical care of patients and addresses some of the barriers that clinicians face when providing tele-anesthesia care from their home via small screen devices and using telehealth. Areas of focus for tele-anesthesia are focused on virtual (automated) preoperative assessments, remote supervision of anesthesiology patient care, and tele-anesthesia applications in general medicine care. Success data collected about tele-anesthesia illustrates a patient satisfaction rate of 93-95% and its successfulness based on provider satisfaction rated at 85-90%, adorn in proceed cancellation rate of 3-5%, improved clinical outcomes (15% reduction in intraoperative adverse events compared to base-line assessments), a 10-12% reduction in postoperative readmissions and pain scores, and improvement in chronic disease management. Barriers identified include tele-anesthesia technology, regulations for tele-anesthesia and documented occupant examination, not being able to physically assess patient health concerns, other barriers include potential negligence regulations, ethical considerations regarding equal access to anesthesia care, patient data privacy, and culturally competent care. Emerging technologies such as artificial intelligence (AI), wearables will continue to improve the precision and scalability for enhancing the utilization of tele-anesthesia systems and care processes. This narrative review captures the essence of tele-anesthesia, as it presents a potential opportunity to revolutionize patient-centered perioperative care and improve general medicine when considerations are taken to lessen health disparities and improve patient-centered and evidence-based family medicine.
Keywords: tele-anesthesia, remote supervision, general medicine, pre-operative assessment, telehealth, peri-operative care.
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