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Specialty · Cardiology and cardiac surgery

Preparing cardiac procedures – with medication in view

Before an ablation, a pacemaker implantation or bypass surgery, patients often take anticoagulant medication. With medudoc, medication is captured by photo, and physicians see the preoperative recommendations of the specialist societies alongside it. The physician decides on any pauses.

Premedication record in the HCP Dashboard before a pacemaker implantation, with decisions on three medications, the procedure, an instruction to the ward and the status “Approved”. Fictitious example.

Medication

Anticoagulants captured, pauses set by the physician

Many patients in cardiology and cardiac surgery take anticoagulants or antiplatelet agents. medudoc brings this information into the case in a structured form. The platform collects, organises and visualises – the physician decides on any pauses.

  • Photo instead of a list
  • Recommendation with cited source
  • Surgery preparation plan
  • Medication by photo

    Patients photograph the package or their medication plan. An integrated drug database recognises the product, so nobody has to type up lists.

  • Medication information with cited source

    In the HCP Dashboard, physicians see the active ingredient, interactions and preoperative recommendations of the specialist societies for each medication – each with a cited source.

  • You decide

    Decision documented in the case

    Physicians set discontinuations, pauses and dose changes directly in the case. medudoc transfers them, together with the instructions to the ward, into the premedication record.

  • Pauses in the surgery preparation plan

    After approval, patients receive their surgery preparation plan with appointment, medication pauses and fasting rules, plus reminders by email or text message.

Interventions and operations

From cardiac catheterisation to bypass surgery in one workflow

Cardiology and cardiac surgery range from short catheter interventions and rhythm devices to major operations. medudoc maps all of them in the same workflow; your hospital defines the documents and signature level for each procedure.

  • Catheter intervention

    Cardiac catheterisation, TAVI and closure devices

    Many interventions can be planned. Patients enter their medical history and medication at home before they come to the cardiac catheterisation laboratory.

    • Left heart catheterisation, coronary angioplasty and stenting
    • Aortic valve replacement (TAVI)
    • Left atrial appendage and ASD/PFO closure
  • Heart rhythm

    Ablation, cardioversion and rhythm devices

    The consent sheet for pacemaker implantation adapts to the pacemaker type, the stay and perioperative anticoagulation, among other things. A patient education video complements it.

    • Catheter ablation for cardiac arrhythmias
    • Electrical cardioversion
    • Pacemakers and S-ICDs, including replacement and revision
  • Cardiac surgery

    Bypass and valve surgery

    Before major operations, cardiac surgery and anaesthesia both inform the patient. medudoc combines both consent processes in one questionnaire and one bilingual consent sheet.

    • Coronary artery bypass grafting, including robot-assisted
    • Mitral and tricuspid valve
    • Medication and approval in the premedication record

On site or telemedical

Telemedical or in the clinic – prepared on both paths

Whether a telemedical consent discussion is sufficient is decided by the physician, depending on the procedure and risk profile. Both paths start with the same preparation at home.

  • Telemedical

    Consent discussion by phone or video

    For plannable examinations and procedures, when the physician considers a telemedical consent discussion sufficient.

    1. 1

      Enter medical history and medication at home

    2. 2

      Review and approve the case in the HCP Dashboard

    3. 3

      Read the consent sheet at home

    4. Consent discussion by phone or videoDiscussion

    5. 5

      Sign electronically, in the browser

    No additional clinic appointment.

  • On site

    In the clinic, well prepared

    For major operations, pre-existing conditions or when an examination is needed.

    1. 1

      Enter medical history and medication at home

    2. 2

      Notable responses flagged in the HCP Dashboard

    3. 3

      Read the consent sheet at home in advance

    4. Discussion and examination in the clinicDiscussion

    5. 5

      Sign electronically, on a tablet or signature pad

    The discussion starts informed instead of from scratch.

One document with a complete record

The result is the consent sheet as a PDF/A with the consent trail and medical history attached – archived in an audit-proof manner and transferred to the hospital information system (HIS).

Benefits

Relief for cardiology, cardiac surgery and anaesthesia

  • For cardiology and cardiac surgery

    • Medication captured in a structured form instead of typed up
    • Preoperative recommendations of the specialist societies with cited source
    • Pauses and instructions to the ward in the premedication record
    • Complete consent trail – who saw and signed what, and when
  • For anaesthesia

    • The same information, no second questionnaire
    • Scores calculated, notable responses flagged
    • Anaesthesia technique in the same consent sheet
    • Handover to the HIS via FHIR
  • For patients

    • Photograph medication instead of copying lists
    • Medication pauses in the surgery preparation plan, with reminders
    • Adjustable font size and contrast in the patient portal
    • Patient education content in 23 languages

Consent sheets

Patient education content for cardiology and cardiac surgery

medudoc’s medical editorial team creates consent sheets for cardiological and cardiac surgical procedures and reviews them at least once a year. For pacemaker implantation and transoesophageal echocardiography, patient education videos are also available.

  1. 01

    Cardiac catheterisation and interventions

    Diagnostics and therapy via catheter.

  2. 02

    Heart rhythm

    Ablation, cardioversion and rhythm devices.

  3. 03

    Cardiac surgery

    Coronary and valve surgery.

Also right heart catheterisation, transoesophageal echocardiography (TEE) and stress echocardiography, pericardiocentesis and pericardial drainage, and LVAD implantation.

References

What physicians say about medudoc

  • “medudoc is convincing: medical patient education and documentation become digital, visual and individually tailored to each patient.”
    Univ.-Prof. Dr. med. Patrick MeybohmDirector of the Department of Anaesthesiology, Universitätsklinikum Würzburg
  • “medudoc is easy to integrate into daily routine, in both outpatient and inpatient settings.”
    Prof. Dr. Jan WalterChief Physician, Neurosurgery, Klinikum Saarbrücken
  • “For patients, it is excellent that they can take the consultation home with them, and the older patients in particular are delighted.”
    Dr. med. Moritz SparnSenior Physician in the Department of General, Visceral, Endocrine and Transplant Surgery, hoch Health Ostschweiz (ehemals Kantonsspital St. Gallen)

Knowledge

More on medication, medical history and signature

See your workflow before cardiac procedures

In a demo, we show you how your team receives medication in a structured form, sets pauses in the case and guides patients through to the procedure.

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