At‐home monitoring after surgery/anaesthesia – a challenge

Abstract

Bringing telemedicine into follow-up after surgery/anaesthesia is requested, and furthermore, the feasibility study on day surgery presented here shows that it is technically easy to perform and will provide robust information. It should be noted that further studies are needed in order to find better patient cooperation.

The Use of Smartphone Applications (Apps) for Enhancing Communication With Surgical Patients: A Systematic Review of the Literature

“…19 The remaining 2 apps were in Swedish. 32,37 All apps had features to assess the patient postoperatively and 1 app included preoperative information and reminders as well as postoperative monitoring features. 38 Nine of the 11 articles had an app that allowed submission of a digital photo of the surgical wound.…”

“…Even though the results of Warren-Stomberg et al 37 indicated that patients older than 60 years would prefer paper-based follow-up methods, this may not be the case in the coming years, as 79% of 65- to 75-year-olds had access to a smartphone in Sweden. 42 Additionally, there has been an increase in the use of smartphones from 29% in 2012 to 71% in 2017 for people aged between 55 and 75 years in the United Kingdom.…”

“…• • QoC Health technology platform, used in 3 articles, but note that 2 of these were the same study with various aspects of the data published separately (used on Samsung, Android devices) 34,35 • • Medipal (iOS and Android) 37 • • RAPP (not specified) 32 • • TrackMyRecovery (iOS) 38 • • 2 × nonspecified apps/software of which one was compatible with iOS and Android 27 and the other one with iOS, Android, and Blackberry 19 Six apps are available in English and one also in Spanish. 19 The remaining 2 apps were in Swedish.…”

Factors influencing day surgery patients’ quality of postoperative recovery and satisfaction with recovery: a narrative review

“…In general, a telephone call is made 1 day after the surgery (Stomberg et al, 2013; Segerdahl et al, 2008). There is a growing body of research on the use of digital follow-up tools (Semple et al, 2015; Armstrong et al, 2017; Warren-Stomberg et al, 2016; Nilsson et al, 2016; Williams et al, 2018), including digital tools that patients find easy to use (Semple et al, 2015; Dahlberg et al, 2016; Jaensson et al, 2015; Debono et al, 2016) and that have a positive effect on postoperative recovery (Jaensson et al, 2017). Digital follow-up has been described by patients as increasing their feeling of safety and helping them to not feel alone after day surgery (Dahlberg et al, 2018a).…”

Télémédecine, téléconsultation en médécine périopératoire

“…Des robots ont même été mis au point et testés à la fois sur mannequin et sur humains pour les gestes techniques de type intubation et anesthésie loco-régionale [22] . De même, des équipes s’intéressent au suivi postopératoire en télémédecine, que ce soit en chirurgie ambulatoire via des applications pour smartphones ou en hospitalisation en soins critiques [23] , [24] . Aussi, la télémédecine pourrait à terme connaître un essor majeur dans la gestion anesthésique périopératoire des patients et pourrait bien bouleverser rapidement bousculer nos pratiques actuelles.…”