| Literature DB >> 29960614 |
Michael H McGillion1, Emmanuelle Duceppe2, Katherine Allan3, Maura Marcucci3, Stephen Yang4, Ana P Johnson5, Sara Ross-Howe6, Elizabeth Peter7, Ted Scott8, Carley Ouellette4, Shaunattonie Henry4, Yannick Le Manach3, Guillaume Paré3, Bernice Downey3, Sandra L Carroll4, Joseph Mills9, Andrew Turner10, Wendy Clyne11, Nazari Dvirnik4, Sandra Mierdel12, Laurie Poole12, Matthew Nelson12, Valerie Harvey8, Amber Good8, Shirley Pettit8, Karla Sanchez8, Prathiba Harsha4, David Mohajer13, Sem Ponnambalam13, Sanjeev Bhavnani14, Andre Lamy8, Richard Whitlock8, P J Devereaux4.
Abstract
Worldwide, more than 230 million adults have major noncardiac surgery each year. Although surgery can improve quality and duration of life, it can also precipitate major complications. Moreover, a substantial proportion of deaths occur after discharge. Current systems for monitoring patients postoperatively, on surgical wards and after transition to home, are inadequate. On the surgical ward, vital signs evaluation usually occurs only every 4-8 hours. Reduced in-hospital ward monitoring, followed by no vital signs monitoring at home, leads to thousands of cases of undetected/delayed detection of hemodynamic compromise. In this article we review work to date on postoperative remote automated monitoring on surgical wards and strategy for advancing this field. Key considerations for overcoming current barriers to implementing remote automated monitoring in Canada are also presented.Entities:
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Year: 2018 PMID： 29960614 DOI： 10.1016/j.cjca.2018.04.021
Source DB: PubMed Journal: Can J Cardiol ISSN： 0828-282X Impact factor: 5.223