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Telemedicine for preoperative assessment during a COVID-19 pandemic: Recommendations for clinical care.

  • Mihalj M Department of Cardiovascular Surgery, Inselspital, Bern University Hospital, University of Bern, Freiburgstrasse, CH-3010, Bern, Switzerland. Electronic address: maks.mihalj@insel.ch.
  • Carrel T Department of Cardiovascular Surgery, Inselspital, Bern University Hospital, University of Bern, Freiburgstrasse, CH-3010, Bern, Switzerland. Electronic address: Thierry.carrel@insel.ch.
  • Gregoric ID Center for Advanced Heart Failure, Cardiopulmonary Support and Transplantation Program, Memorial Hermann Heart & Vascular Institute, Texas Medical Center, and University of Texas McGovern Medical School, 6400 Fannin St., Suite 2350, Houston 77030, TX, USA. Electronic address: Igor.D.Gregoric@uth.tmc.edu.
  • Andereggen L Department of Neurosurgery, Kantonsspital Aarau, Tellstrasse 25, 5001, Aarau, Switzerland. Electronic address: lukas.andereggen@gmail.com.
  • Zinn PO Department of Neurosurgery, University of Pittsburgh School of Medicine, 200 Lothrop Street, Pittsburgh, PA, 15213, USA. Electronic address: zinnpo@upmc.edu.
  • Doll D Department of Colorectal Surgery, St. Marien-Krankenhaus, Marienstraße 6-8, 49377, Vechta, Germany. Electronic address: ddoll@gmx.de.
  • Stueber F Department of Anaesthesiology and Pain Medicine, Inselspital, Bern University Hospital, University of Bern, Freiburgstrasse, CH-3010, Bern, Switzerland. Electronic address: frank.stueber@insel.ch.
  • Gabriel RA Department of Anesthesiology, University of California San Diego, 9300 Campus Point Dr, 92037, La Jolla, CA, USA. Electronic address: ragabriel@health.ucsd.edu.
  • Urman RD Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, 02115, Boston, MA, USA. Electronic address: rurman@bwh.harvard.edu.
  • Luedi MM Department of Anaesthesiology and Pain Medicine, Inselspital, Bern University Hospital, University of Bern, Freiburgstrasse, CH-3010, Bern, Switzerland. Electronic address: markus.luedi2@insel.ch.
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  • 2020-07-27
Published in:
  • Best practice & research. Clinical anaesthesiology. - 2020
COVID-19
management
preoperative assessment
surgery
telehealth
telemedicine
Anesthesia
Coronavirus Infections
Humans
Pandemics
Pneumonia, Viral
Preoperative Care
Telemedicine
English Limiting the spread of the disease is key to controlling the COVID-19 pandemic. This includes identifying people who have been exposed to COVID-19, minimizing patient contact, and enforcing strict hygiene measures. To prevent healthcare systems from becoming overburdened, elective and non-urgent medical procedures and treatments have been postponed, and primary health care has broadened to include virtual appointments via telemedicine. Although telemedicine precludes the physical examination of a patient, it allows collection of a range of information prior to a patient's admission, and may therefore be used in preoperative assessment. This new tool can be used to evaluate the severity and progression of the main disease, other comorbidities, and the urgency of the surgical treatment as well as preferencing anesthetic procedures. It can also be used for effective screening and triaging of patients with suspected or established COVID-19, thereby protecting other patients, clinicians and communities alike.
Language
  • English
Open access status
green
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Persistent URL
https://folia.unifr.ch/global/documents/155980
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