Inside the Anesthesia EHR: Every New Feature, Pre-Op to PACU

I built MyPreOp because I was tired of three things: chasing clearance documents, hand-writing the same chart twice, and finding the surprise that cancels a case at 7 a.m. instead of the week before. What started as a clearance tool is now a full anesthesia EHR that carries the entire case — and it runs in a browser, on the device you already own, whether or not your facility has electronic charting.

Here's the whole stack, feature by feature.

1. Pre-op clearance that catches what cancels cases

Upload the chart and the AI reads it the way an experienced provider would — conditions, medications, labs, EKG — against current ASA, ACC/AHA, and ASRA guidance, and returns a clear Cleared / Cleared with Conditions / Not Cleared with the reasoning behind it.

• Anesthesia provider: the risk read is done before you walk in — no 6 a.m. surprises.
• Surgeon: the things that cancel cases day-of get surfaced weeks ahead, while there's still time to fix them.

2. The Anesthesia Pre-Op Form, auto-filled

Finish the clearance and the full Anesthesia Pre-Op Form populates itself — every field, formatted the way you'd write it. You review and sign instead of typing it the morning of surgery.

• Anesthesia provider: less time lost transcribing at the pre-op interview — the form's already built, so the visit goes to the patient, not the paperwork.
• Surgeon / practice: in the office or ASC, you're the one paying for anesthesia time — often around $200 an hour. Minutes shaved off every pre-op (and real hours across a day) come straight off your bill. Time saved on anesthesia is money saved for you.

3. Vitals in seconds — swipe or screenshot

Trend your vitals with a swipe of a fingerright on the iPhone or iPad — a live crosshair shows exactly where each point lands. Or here's the one that changes the whole day: take a screenshot of the trends on your monitor and they transport into your intra-op record exactly — no re-plotting, no hand-charting every five minutes. (Apple Pencil draw mode too, if you like.)

• Anesthesia provider: the most tedious part of the case — plotting vitals — becomes a swipe or a screenshot, and your eyes stay on the patient.

4. Consult AI that knows this patient

Ask a case-specific question mid-case — “max bupivacaine dose for this weight?” — and get a direct, cited answer (ASA / ACC·AHA / ASRA) that already has this patient's context. HIPAA-safe, unlike pasting into ChatGPT.

• Anesthesia provider: a second set of eyes on the literature, in seconds, without leaving the chart.

5. A Safety Co-Pilot watching the case

It quietly watches the live chart and flags what's easy to miss — an antibiotic re-dose window, a blood-pressure trend, hypothermia, a documentation gap before emergence — each grounded in the chart and cited to the guidelines. Observations, never orders. You decide.

• Anesthesia provider: a backstop on the small misses that matter, without an alarm screaming at you.
• Surgeon / facility: a safer case and a cleaner, more defensible record.

6. The whole case, one login: Pre-Op → IntraOp → PACU

Clearance, the pre-op form, the intra-op record, and PACU all live in one place. One tap takes a cleared patient straight into the intra-op chart. No re-entering demographics, no stitching systems together.

7. Print → done

At the end, MyPreOp assembles the complete anesthesia record — sign, lock, addendum if needed — and prints onto the standard AANA anesthesia record exactly as if you'd done it by hand. This is the part that matters for offices and ASCs: it works whether or not your facility has an EHR. No rollout, no IT ticket, no committee.

Two people, one win

For the anesthesia provider, this gives back an hour or two on a busy day, takes the clerical weight off, and adds a quiet safety backstop — for about the cost of two coffees a week. For the surgeon and the practice, it means fewer same-day cancellations, anesthesia time that isn't spent on paperwork you're paying for, and an anesthesia record that's complete, signed, and auditable — in your office or ASC, without an infrastructure project.

Same platform. Built by a CRNA who works outpatient like you.

Start now — $59/mo, cancel anytime. See the Anesthesia EHR overview, the live validation study, or how the pre-op automation works.

MyPreOp.ai is clinical decision-support software for licensed providers. It supports, and does not replace, your clinical judgment.