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Use of Virtual Reality in the Pediatric Perioperative Setting and for Induction of Anesthesia: Mixed Methods Pilot Feasibility Study

Use of Virtual Reality in the Pediatric Perioperative Setting and for Induction of Anesthesia: Mixed Methods Pilot Feasibility Study

Hence, the primary objective of this study was to determine the feasibility of using VR for distraction in the perioperative setting, from the preoperative waiting room to induction. Secondary aims were to assess the clinical utility, tolerability, and initial effectiveness of VR in the same time frame.

Yu Tong Huang, Sofia Addab, Gianluca Bertolizio, Reggie Hamdy, Kelly Thorstad, Argerie Tsimicalis

JMIR Perioper Med 2025;8:e58905

Preoperative Anxiety Management Practices in Pediatric Anesthesia: Comparative Analysis of an Online Survey Presented to Experts and Social Media Users

Preoperative Anxiety Management Practices in Pediatric Anesthesia: Comparative Analysis of an Online Survey Presented to Experts and Social Media Users

Established options for preoperative anxiolysis in children include pharmacological and nonpharmacological interventions. Midazolam, clonidine, and dexmedetomidine as well as (s-)ketamine are frequently used for pharmacological premedication [5,6]. However, the general use of these drugs is subject to controversial debate [6,7].

Armin Sablewski, Christine Eimer, Marcus Nemeth, Clemens Miller

JMIR Pediatr Parent 2025;8:e64561

Ten Machine Learning Models for Predicting Preoperative and Postoperative Coagulopathy in Patients With Trauma: Multicenter Cohort Study

Ten Machine Learning Models for Predicting Preoperative and Postoperative Coagulopathy in Patients With Trauma: Multicenter Cohort Study

Our data show that despite surgical interventions such as hemostasis, vascular reconstruction, fracture reduction, organ repair, blood transfusion, and the correction of electrolyte imbalances in patients who experienced preoperative TIC, 50% of these patients still had TIC postoperatively [15].

Xiaojuan Xiong, Hong Fu, Bo Xu, Wang Wei, Mi Zhou, Peng Hu, Yunqin Ren, Qingxiang Mao

J Med Internet Res 2025;27:e66612

Association of a Novel Electronic Form for Preoperative Cardiac Risk Assessment With Reduction in Cardiac Consultations and Testing: Retrospective Cohort Study

Association of a Novel Electronic Form for Preoperative Cardiac Risk Assessment With Reduction in Cardiac Consultations and Testing: Retrospective Cohort Study

However, we are not aware of any electronic medical record (EMR) process for the structured completion of a preoperative cardiac algorithm or its association with preoperative resource utilization and postoperative outcomes. Our hospital system adapted the ACC/AHA algorithm in 2020 to standardize indications for preoperative cardiology evaluation and created an EMR form in 2022 to streamline its completion.

Mandeep Kumar, Kathryn Wilkinson, Ya-Huei Li, Rohit Masih, Mehak Gandhi, Haleh Saadat, Julie Culmone

JMIR Perioper Med 2024;7:e63076

Preoperative Anesthesia Virtual Video Consultations in a Preadmission Clinic: Quality Improvement Study

Preoperative Anesthesia Virtual Video Consultations in a Preadmission Clinic: Quality Improvement Study

The PAC is a designated setting for multidisciplinary preoperative assessments and optimization of operating room efficiency. Notably, not all patients receive preoperative assessments in the PAC, as limitations in time, office space, and human resources restrict the number of patients seen.

Yamini Subramani, Jill Querney, Priyanka Singh, Yifan Zhang, Lee-Anne Fochesato, Nida Fatima, Natasha Wood, Mahesh Nagappa

JMIR Perioper Med 2024;7:e57541

A Device for Prehabilitation of Total Knee Replacement Surgery (Slider): Usability Study

A Device for Prehabilitation of Total Knee Replacement Surgery (Slider): Usability Study

Using an internet-enabled physiotherapy device at home can support a patient’s preoperative and postoperative knee replacement physiotherapy remotely, providing security and reassurance to both the clinician and the patient. Furthermore, this remote monitoring could free up clinician time and provide valuable objective data on the effects of physiotherapy on the quality and speed of recovery.

Riasat Islam, Daniel Gooch, Sudheer Karlakki, Blaine Price

JMIR Form Res 2023;7:e48055

Survey of the Impact of Decision Support in Preoperative Management of Anemia (i-Anemia): Survey Study

Survey of the Impact of Decision Support in Preoperative Management of Anemia (i-Anemia): Survey Study

Preoperative anemia is relatively common, affecting 25% to 75% of patients with an increasing prevalence in older patients and those with cancer [10,11]. Consequently, the relationship between anemia and perioperative transfusion provides a related risk for perioperative morbidity and mortality [12-15]. Management of preoperative anemia has become a goal for the anesthesiologist before surgery, with some recommendations endorsing anemia treatment in patients undergoing surgery [16,17].

Gaëtan Mignanelli, Richard Boyer, Nicolas Bonifas, Emmanuel Rineau, Yassine Moussali, Morgan Le Guen

JMIR Perioper Med 2023;6:e49186

Prehabilitation in an Integrative Medicine Day Clinic for Patients Undergoing Neoadjuvant Treatment: Single-Center Feasibility Pilot Study

Prehabilitation in an Integrative Medicine Day Clinic for Patients Undergoing Neoadjuvant Treatment: Single-Center Feasibility Pilot Study

Innovative concepts developed in the mid-1990s use the preoperative phase for various measures to improve patients’ postoperative results with fewer and less severe complications. Analysis of these concepts of “prehabilitation” indicated efficacy [2,3]. The initial results were positive even in rather short (2-4 weeks) interventions comprising several sessions. However, there is growing evidence that these early prehabilitation concepts lacked fundamental aspects of preparation [4].

Christian Raff, Colette Dörr-Harim, Stephanie Otto, Johanna Thiele, Andre Mihaljevic, Klaus Kramer

JMIR Res Protoc 2023;12:e46765

Reducing Alcohol Use Before and After Surgery: Qualitative Study of Two Treatment Approaches

Reducing Alcohol Use Before and After Surgery: Qualitative Study of Two Treatment Approaches

Existing preoperative interventions involve pharmacotherapy and frequent in-person visits to promote abstinence, making them most appropriate for individuals at the higher end of the alcohol use and alcohol use disorder spectrum [7,9]. A broader array of treatment options are still needed to address the full spectrum of patients drinking prior to surgery.

Lyndsay Chapman, Tom Ren, Jake Solka, Angela R Bazzi, Brian Borsari, Michael J Mello, Anne C Fernandez

JMIR Perioper Med 2023;6:e42532

The Association Between Borderline Dysnatremia and Perioperative Morbidity and Mortality: Retrospective Cohort Study of the American College of Surgeons National Surgical Quality Improvement Program Database

The Association Between Borderline Dysnatremia and Perioperative Morbidity and Mortality: Retrospective Cohort Study of the American College of Surgeons National Surgical Quality Improvement Program Database

Abnormal preoperative sodium levels are associated with multiple adverse outcomes, including increased risk of venous thromboembolism, major bleeding and return to the operating room, perioperative coronary events, wound infection, and prolonged postoperative length of hospital stay [1-6]. Both hyponatremia and hypernatremia are associated with an increased risk of perioperative mortality [2,4,5].

Jacob H Cole, Krista B Highland, Scott B Hughey, Brendan J O'Shea, Thomas Hauert, Ashton H Goldman, George C Balazs, Gregory J Booth

JMIR Perioper Med 2023;6:e38462