BJA Open (Mar 2022)
Wireless wearables for postoperative surveillance on surgical wards: a survey of 1158 anaesthesiologists in Western Europe and the USA
- Frederic Michard,
- Robert H. Thiele,
- Bernd Saugel,
- Alexandre Joosten,
- Moritz Flick,
- Ashish K. Khanna,
- Matthieu Biais,
- Vincent Bonhomme,
- Wolfgang Buhre,
- Bernard Cholley,
- Jean-Michel Constantin,
- Emmanuel Futier,
- Samir Jaber,
- Marc Leone,
- Benedikt Preckel,
- Daniel Reuter,
- Patrick Schoettker,
- Thomas Scheeren,
- Michael Sander,
- Luzius A. Steiner,
- Sascha Treskatsch,
- Kai Zacharowski,
- Anoushka Afonso,
- Lovkesh Arora,
- Michael L. Ault,
- Karsten Bartels,
- Charles Brown,
- Daniel Brown,
- Douglas Colquhoun,
- Ryan Fink,
- Tong J. Gan,
- Neil Hanson,
- Omar Hyder,
- Timothy Miller,
- Matt McEvoy,
- Ronald Pearl,
- Romain Pirracchio,
- Marc Popovich,
- Sree Satyapriya,
- B. Scott Segal,
- George Williams
Affiliations
- Frederic Michard
- MiCo, Denens, Switzerland; Corresponding author.
- Robert H. Thiele
- Department of Anesthesiology, University of Virginia, Charlottesville, VA, USA
- Bernd Saugel
- Department of Anesthesiology, Center of Anesthesiology and Intensive Care Medicine, University Medical Center Hamburg–Eppendorf, Hamburg, Germany; Outcomes Research Consortium, Cleveland, OH, USA
- Alexandre Joosten
- Department of Anesthesiology, University Paris Saclay, Paul Brousse Hospital, Villejuif, France
- Moritz Flick
- Department of Anesthesiology, Center of Anesthesiology and Intensive Care Medicine, University Medical Center Hamburg–Eppendorf, Hamburg, Germany
- Ashish K. Khanna
- Outcomes Research Consortium, Cleveland, OH, USA; Department of Anesthesiology, Wake Forest School of Medicine, Winston-Salem, NC, USA
- Matthieu Biais
- Université de Bordeaux, Hôpital Tripode, Bordeaux, France
- Vincent Bonhomme
- Centre Hospitalier Universitaire, Liège, Belgium
- Wolfgang Buhre
- University Medical Center, Maastricht, the Netherlands
- Bernard Cholley
- Université de Paris, INSERM, IthEM, Hopital Européen Georges Pompidou, AP-HP, Paris, France
- Jean-Michel Constantin
- University Paris-Sorbonne, Hopital Pitié-Salpétrière, Paris, France
- Emmanuel Futier
- Université Clermont Auvergne, Hopital d’Estaing, Clermont-Ferrand, France
- Samir Jaber
- Université de Montpellier, Saint Eloi Hospital, Montpellier, France
- Marc Leone
- Université Aix-Marseille, Hopital Nord, Marseille, France
- Benedikt Preckel
- Amsterdam University Medical Centers Location AMC, the Netherlands
- Daniel Reuter
- Rostock University Medical Center, Rostock, Germany
- Patrick Schoettker
- Université de Lausanne, CHUV, Lausanne, Switzerland
- Thomas Scheeren
- University Medical Center, Groningen, the Netherlands
- Michael Sander
- University Medical Center, Giessen, Germany
- Luzius A. Steiner
- Anesthesiology, University Hospital Basel and Department of Clinical Research, University of Basel, Switzerland
- Sascha Treskatsch
- Charité University Medical Center, Berlin, Germany
- Kai Zacharowski
- University Medical Center, Frankfurt, Germany
- Anoushka Afonso
- Memorial Sloan Kettering Cancer Center, New York City, NY, USA
- Lovkesh Arora
- University of Iowa Health Care, Iowa City, IA, USA
- Michael L. Ault
- Northwestern Memorial Hospital, Chicago, IL, USA
- Karsten Bartels
- University of Nebraska Medical Center, Omaha, NE, USA
- Charles Brown
- Johns Hopkins University Hospital, Baltimore, MD, USA
- Daniel Brown
- Mayo Clinic, Rochester, MN, USA
- Douglas Colquhoun
- University of Michigan Health, Ann Arbor, MI, USA
- Ryan Fink
- Oregon Health Services University, Portland, OR, USA
- Tong J. Gan
- StonyBrook University Medical Center, StonyBrook, NY, USA
- Neil Hanson
- University of Minnesota Medical Center, Minneapolis, MN, USA
- Omar Hyder
- Massachussets General Hospital, Harvard Medical School, Boston, MA, USA
- Timothy Miller
- Duke University Hospital, Durham, NC, USA
- Matt McEvoy
- Vanderbilt University Medical Center, Nashville, TN, USA
- Ronald Pearl
- Stanford University School of Medicine, Stanford, CA, USA
- Romain Pirracchio
- University of California San Francisco, CA, USA
- Marc Popovich
- University Hospitals Cleveland Medical Center, Cleveland, OH, USA
- Sree Satyapriya
- Ohio State University, Columbus, OH, USA
- B. Scott Segal
- Wake Forest University Medical Center, Winston-Salem, NC, USA
- George Williams
- University of Texas Medical Center, Houston, TX, USA
- Journal volume & issue
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Vol. 1
p. 100002
Abstract
Background: Several continuous monitoring solutions, including wireless wearable sensors, are available or being developed to improve patient surveillance on surgical wards. We designed a survey to understand the current perception and expectations of anaesthesiologists who, as perioperative physicians, are increasingly involved in postoperative care. Methods: The survey was shared in 40 university hospitals from Western Europe and the USA. Results: From 5744 anaesthesiologists who received the survey link, there were 1158 valid questionnaires available for analysis. Current postoperative surveillance was mainly based on intermittent spot-checks of vital signs every 4–6 h in the USA (72%) and every 8–12 h in Europe (53%). A majority of respondents (91%) considered that continuous monitoring of vital signs should be available on surgical wards and that wireless sensors are preferable to tethered systems (86%). Most respondents indicated that oxygen saturation (93%), heart rate (80%), and blood pressure (71%) should be continuously monitored with wrist devices (71%) or skin adhesive patches (54%). They believed it may help detect clinical deterioration earlier (90%), decrease rescue interventions (59%), and decrease hospital mortality (54%). Opinions diverged regarding the impact on nurse workload (increase 46%, decrease 39%), and most respondents considered that the biggest implementation challenges are economic (79%) and connectivity issues (64%). Conclusion: Continuous monitoring of vital signs with wireless sensors is wanted by most anaesthesiologists from university hospitals in Western Europe and in the USA. They believe it may improve patient safety and outcome, but may also be challenging to implement because of cost and connectivity issues.
