JMIR Perioperative Medicine
Technology and data science for interdisciplinary innovation to improve care delivery and surgical patient outcomes.
Editor-in-Chief:
Nidhi Rohatgi, MD, MS, SFHM, Clinical Professor, Medicine and Section Chief for Surgical Co-management, Neurosurgery, Stanford University School of Medicine, USA
CiteScore 0.5
Recent Articles
![Preoperative Anesthesia Virtual Video Consultations in a Preadmission Clinic: Quality Improvement Study Article Thumbnail](https://asset.jmir.pub/assets/5a37427bdb29406c76a662b554582f58.png 480w,https://asset.jmir.pub/assets/5a37427bdb29406c76a662b554582f58.png 960w,https://asset.jmir.pub/assets/5a37427bdb29406c76a662b554582f58.png 1920w,https://asset.jmir.pub/assets/5a37427bdb29406c76a662b554582f58.png 2500w)
The preadmission clinic (PAC) is crucial in perioperative care, offering evaluations, education, and patient optimization before surgical procedures. During the COVID-19 pandemic, the PAC adapted by implementing telephone visits due to a lack of infrastructure for video consultations. While the pandemic significantly increased the use of virtual care, including video appointments as an alternative to in-person consultations, our PAC had not used video consultations for preoperative assessments.
![Factors Influencing Neuromuscular Blockade Reversal Choice in the United States Before and During the COVID-19 Pandemic: Retrospective Longitudinal Analysis Article Thumbnail](https://asset.jmir.pub/assets/663797ee65c840db2c0a3751564b8fff.png 480w,https://asset.jmir.pub/assets/663797ee65c840db2c0a3751564b8fff.png 960w,https://asset.jmir.pub/assets/663797ee65c840db2c0a3751564b8fff.png 1920w,https://asset.jmir.pub/assets/663797ee65c840db2c0a3751564b8fff.png 2500w)
Neuromuscular blockade (NMB) agents are a critical component of balanced anesthesia. NMB reversal methods can include spontaneous reversal, sugammadex, or neostigmine and the choice of reversal strategy can depend on various factors. Unanticipated changes to clinical practice emerged due to the COVID-19 pandemic, and a better understanding of how NMB reversal trends were affected by the pandemic may help provide insight into how providers view the tradeoffs in the choice of NMB reversal agents.
![Postsurgical Pain Risk Stratification to Enhance Pain Management Workflow in Adult Patients: Design, Implementation, and Pilot Evaluation Article Thumbnail](https://asset.jmir.pub/assets/58b5863406f60a0f3d901eb2fee5b9a3.png 480w,https://asset.jmir.pub/assets/58b5863406f60a0f3d901eb2fee5b9a3.png 960w,https://asset.jmir.pub/assets/58b5863406f60a0f3d901eb2fee5b9a3.png 1920w,https://asset.jmir.pub/assets/58b5863406f60a0f3d901eb2fee5b9a3.png 2500w)
Exposure to opioids after surgery is the initial contact for some people who develop chronic opioid use disorder. Hence, effective postoperative pain management, with less reliance on opioids, is critical. The Perioperative Opioid Quality Improvement (POQI) program developed (1) a digital health platform leveraging patient-survey-reported risk factors and (2) a postsurgical pain risk stratification algorithm to personalize perioperative care by integrating several commercially available digital health solutions into a combined platform. Development was reduced in scope by the COVID-19 pandemic.
![The Effectiveness of Patient Education on Laparoscopic Surgery Postoperative Outcomes to Determine Whether Direct Coaching Is the Best Approach: Systematic Review of Randomized Controlled Trials Article Thumbnail](https://asset.jmir.pub/assets/1e5fb1d786b014e65e069f2da949f8da.png 480w,https://asset.jmir.pub/assets/1e5fb1d786b014e65e069f2da949f8da.png 960w,https://asset.jmir.pub/assets/1e5fb1d786b014e65e069f2da949f8da.png 1920w,https://asset.jmir.pub/assets/1e5fb1d786b014e65e069f2da949f8da.png 2500w)
As of 2022, patient adherence to postoperative guidelines can reduce the risk of complications by up to 52.4% following laparoscopic abdominal surgery. With the availability of various preoperative education interventions (POEIs), understanding which POEI results in improvement in patient outcomes across the procedures is imperative.
![A Novel Digital Health Platform With Health Coaches to Optimize Surgical Patients: Feasibility Study at a Large Academic Health System Article Thumbnail](https://asset.jmir.pub/assets/c58372eb5c895f78abe3e8cb1ebdf6d4.png 480w,https://asset.jmir.pub/assets/c58372eb5c895f78abe3e8cb1ebdf6d4.png 960w,https://asset.jmir.pub/assets/c58372eb5c895f78abe3e8cb1ebdf6d4.png 1920w,https://asset.jmir.pub/assets/c58372eb5c895f78abe3e8cb1ebdf6d4.png 2500w)
![Blood Management: A Current Opportunity in Perioperative Medicine Article Thumbnail](https://asset.jmir.pub/assets/ec3f1a43cccc73cc79645ebe33decb7c.png 480w,https://asset.jmir.pub/assets/ec3f1a43cccc73cc79645ebe33decb7c.png 960w,https://asset.jmir.pub/assets/ec3f1a43cccc73cc79645ebe33decb7c.png 1920w,https://asset.jmir.pub/assets/ec3f1a43cccc73cc79645ebe33decb7c.png 2500w)
The purpose of this viewpoint is to provide awareness of the current opportunities to enhance a high-value care approach to blood product transfusion. It provides a historical context to the evolution of blood management, as well as of the patient safety and high-value care movement. Leveraging current technology for enhanced education, as well as clinical decision support, is also discussed.
![Comparing Anesthesia and Surgery Controlled Time for Primary Total Knee and Hip Arthroplasty Between an Academic Medical Center and a Community Hospital: Retrospective Cohort Study Article Thumbnail](https://asset.jmir.pub/assets/1c6ba80845c04add9f789c84f6ca5183.png 480w,https://asset.jmir.pub/assets/1c6ba80845c04add9f789c84f6ca5183.png 960w,https://asset.jmir.pub/assets/1c6ba80845c04add9f789c84f6ca5183.png 1920w,https://asset.jmir.pub/assets/1c6ba80845c04add9f789c84f6ca5183.png 2500w)
Osteoarthritis is a significant cause of disability, resulting in increased joint replacement surgeries and health care costs. Establishing benchmarks that more accurately predict surgical duration could help to decrease costs, maximize efficiency, and improve patient experience. We compared the anesthesia-controlled time (ACT) and surgery-controlled time (SCT) of primary total knee (TKA) and total hip arthroplasties (THA) between an academic medical center (AMC) and a community hospital (CH) for 2 orthopedic surgeons.
![Survey of the Impact of Decision Support in Preoperative Management of Anemia (i-Anemia): Survey Study Article Thumbnail](https://asset.jmir.pub/assets/287996bf192acd0688b66dc2f8793aa0.png 480w,https://asset.jmir.pub/assets/287996bf192acd0688b66dc2f8793aa0.png 960w,https://asset.jmir.pub/assets/287996bf192acd0688b66dc2f8793aa0.png 1920w,https://asset.jmir.pub/assets/287996bf192acd0688b66dc2f8793aa0.png 2500w)
Major surgery on patients with anemia has demonstrated an increased risk of perioperative blood transfusions and postoperative morbidity and mortality. Recent studies have shown that integrating preoperative anemia treatment as a component of perioperative blood management may reduce blood product utilization and improve outcomes in both cardiac and noncardiac surgery. However, outpatient management of anemia falls outside of daily practice for most anesthesiologists and is probably weakly understood.
![JMIR Perioperative Medicine: A Global Journal for Publishing Interdisciplinary Innovations, Research, and Perspectives Article Thumbnail](https://asset.jmir.pub/assets/9988814462dd8c51029f27b366a0b11f.png 480w,https://asset.jmir.pub/assets/9988814462dd8c51029f27b366a0b11f.png 960w,https://asset.jmir.pub/assets/9988814462dd8c51029f27b366a0b11f.png 1920w,https://asset.jmir.pub/assets/9988814462dd8c51029f27b366a0b11f.png 2500w)
JMIR Perioperative Medicine supports the dissemination of technological and data science–driven innovative research conducted by interdisciplinary teams in perioperative medicine. We invite contributions on a broad range of topics from clinicians, scientists, and allied health professionals from across the globe.
![Teaching Basic Surgical Skills Using a More Frugal, Near-Peer, and Environmentally Sustainable Way: Mixed Methods Study Article Thumbnail](https://asset.jmir.pub/assets/4684c43ae3ce6b3686a6abf6c364173c.png 480w,https://asset.jmir.pub/assets/4684c43ae3ce6b3686a6abf6c364173c.png 960w,https://asset.jmir.pub/assets/4684c43ae3ce6b3686a6abf6c364173c.png 1920w,https://asset.jmir.pub/assets/4684c43ae3ce6b3686a6abf6c364173c.png 2500w)
The Royal College of Surgeons Basic Surgical Skills (BSS) course is ubiquitous among UK surgical trainees but is geographically limited and costly. The COVID-19 pandemic has reduced training quality. Surveys illustrate reduced logbook completion and increased trainee attrition. Local, peer-led teaching has been shown to be effective at increasing confidence in surgical skills in a cost-effective manner. Qualitative data on trainee well-being, recruitment, and retention are lacking.
![A New Index for the Quantitative Evaluation of Surgical Invasiveness Based on Perioperative Patients’ Behavior Patterns: Machine Learning Approach Using Triaxial Acceleration Article Thumbnail](https://asset.jmir.pub/assets/6fe640b6f7b792fb7d655e282228de14.png 480w,https://asset.jmir.pub/assets/6fe640b6f7b792fb7d655e282228de14.png 960w,https://asset.jmir.pub/assets/6fe640b6f7b792fb7d655e282228de14.png 1920w,https://asset.jmir.pub/assets/6fe640b6f7b792fb7d655e282228de14.png 2500w)
The minimally invasive nature of thoracoscopic surgery is well recognized; however, the absence of a reliable evaluation method remains challenging. We hypothesized that the postoperative recovery speed is closely linked to surgical invasiveness, where recovery signifies the patient’s behavior transition back to their preoperative state during the perioperative period.
![Efficacy of Electronic Reminders in Increasing the Enhanced Recovery After Surgery Protocol Use During Major Breast Surgery: Prospective Cohort Study Article Thumbnail](https://asset.jmir.pub/assets/6d39df11023d77b0608bf10f24cf5c31.png 480w,https://asset.jmir.pub/assets/6d39df11023d77b0608bf10f24cf5c31.png 960w,https://asset.jmir.pub/assets/6d39df11023d77b0608bf10f24cf5c31.png 1920w,https://asset.jmir.pub/assets/6d39df11023d77b0608bf10f24cf5c31.png 2500w)
Enhanced recovery after surgery (ERAS) protocols are patient-centered, evidence-based guidelines for peri-, intra-, and postoperative management of surgical candidates that aim to decrease operative complications and facilitate recovery after surgery. Anesthesia providers can use these protocols to guide decision-making and standardize aspects of their anesthetic plan in the operating room.