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Articles on Anaesthesia

Articles & guides
Frailty and preoperative anaemia: why the pre-anaesthesia clinic should start earlier
Current German S3 guidelines on frailty and preoperative anaemia shift the focus to individual preparation before surgery. For pre-anaesthesia clinics, this raises a concrete question: are relevant information and findings available in time to organise the necessary steps before the procedure?
November 4, 2026 · 7 min read
Articles & guides
Validated risk scores in premedication: RCRI, Duke Activity Status Index, Apfel score
Several validated scores are used in premedication to estimate risks before a procedure: the Revised Cardiac Risk Index (RCRI) for cardiac complications, the Duke Activity Status Index (DASI) for functional capacity and the Apfel score for the risk of postoperative nausea and vomiting (PONV). What all three scores have in common is that their validity depends on the completeness of the underlying medical history data.
October 28, 2026 · 5 min read
Articles & guides
Why the medical history is the blind spot in digitalising the surgical process
In many hospitals, patient education and consent are already digital, but the medical history is still taken on paper. In the pre-anaesthesia clinic in particular, this leads to follow-up questions, media discontinuities and delays in the OR schedule; it also removes the basis for individualised patient education. An end-to-end pre-admission process therefore begins with a structured digital medical history at home, whose data flows on into the HIS and into patient education.
October 15, 2026 · 9 min read
Articles & guides
Checking drug allergies and cross-allergies in the digital medical history
“Penicillin allergy” is one of the most frequent entries in the preoperative medical history – and one of the least precise. Without more detailed information on the type of reaction, time course and organ system affected, it is impossible to judge whether an allergy is actually present or whether certain alternative drugs can be considered. A structured digital allergy history can ask specifically for exactly the information that makes a reliable classification possible in the first place.
October 15, 2026 · 5 min read
Articles & guides
One video instead of two appointments – combined vs. separate patient education for anaesthesia and surgery
When a procedure requires both surgical and anaesthetic patient education, hospitals face an organisational question: are both combined in a single appointment or video, or do they remain two separate processes, each with its own signature? Both models are established in practice, and both can be justified clinically – the decision is not purely technical but concerns the allocation of responsibility between the specialties.
September 21, 2026 · 5 min read
Articles & guides
What does a pre-anaesthesia consultation really cost? A health economic calculation.
From the hospital's perspective, a pre-anaesthesia consultation costs around €60 to €85 in full costs, with a range of €30 to €140 depending on the hospital and the case. If patients' time is included, the total societal costs amount to €130 to €180 per case. No systematic, published calculation of these costs exists in the German-speaking countries so far – the following model calculation closes this gap on the basis of current literature.
July 27, 2026 · 11 min read
Law & regulation
Telemedical consent discussion: the legal position for ASA I/II patients in Germany and Austria
In Germany and Austria, the prevailing view holds that a fully telemedical consent discussion for patients in risk classes ASA I and ASA II before straightforward elective procedures is permissible, provided the relevant requirements are met. What is required is a genuine real-time conversation with a physician — by video or by telephone — with the opportunity to ask questions, the patient's agreement, timely delivery and documentation that stands up as evidence. A patient education video or a consent sheet alone does not replace this conversation. What changes is not the duty to hold the conversation, but its modality. A ruling by the highest courts specifically on video-assisted consent discussions is still pending in both countries — to that extent, the legal position is not conclusively settled.
July 6, 2026 · 23 min read
Articles & guides
Mallampati classification and digital medical history: why airway assessment stays in the hospital
The Mallampati classification is a visual examination of the oral cavity that a trained person performs directly on the seated patient — it cannot be collected via a digital questionnaire. medudoc therefore supports airway assessment where a smart digital medical history is strongest: in the structured recording of the patient's history and in early, individual patient education on anaesthetic techniques and alternatives. The physical airway examination itself — including the Mallampati classification — continues to be performed in person by the physician at admission.
June 30, 2026 · 9 min read
News
Digital pre-anaesthesia: why 2026 is becoming a turning point for preoperative workflows
Preoperative processes rarely fail for lack of tools, but because existing processes are merely mapped digitally instead of being redesigned. At DMEA 2026, medudoc presented a new platform generation that combines digital medical history, capture of findings, individualised video-assisted patient education and electronic consent in one continuous workflow. This turns the pre-anaesthesia clinic from a bottleneck into a unit that can be planned.
March 30, 2026 · 7 min read

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Articles on Anaesthesia

Frailty and preoperative anaemia: why the pre-anaesthesia clinic should start earlier

Validated risk scores in premedication: RCRI, Duke Activity Status Index, Apfel score

Why the medical history is the blind spot in digitalising the surgical process

Checking drug allergies and cross-allergies in the digital medical history

One video instead of two appointments – combined vs. separate patient education for anaesthesia and surgery

What does a pre-anaesthesia consultation really cost? A health economic calculation.

Telemedical consent discussion: the legal position for ASA I/II patients in Germany and Austria

Mallampati classification and digital medical history: why airway assessment stays in the hospital

Digital pre-anaesthesia: why 2026 is becoming a turning point for preoperative workflows

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