Is virtual pre-anesthesia check-up (PAC) as effective as in-person PAC? – A cross-over study
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 40
- 试验地点
- 1
- 主要终点
- The primary outcome will be the degree of concordance between virtual and in-person PAC for the objectives mentioned.
研究概览
简要总结
Pre-anaesthesia check-up (PAC) is carried out before surgery to see if patients are fit to undergo surgery or have some medical conditions which need to be optimised. PAC is usually done in person by the anaesthesiologists at the PAC clinic.
The aim of this study is to examine the effectiveness of a virtual PAC as compared to an in-person PAC in patients planned for surgery at a tertiary-referral cancer centre. We will include 20 patients, who are scheduled to undergo a new PAC and 20 patients scheduled for PAC review. All participants will undergo an in-person as well as a virtual PAC. After both PACs are completed, patients will be administered a survey related to their experience. The two PACs will then be compared to assess how similar the assessment of both the anaesthesiologists was and to assess if any information was missed on either of them.
If virtual PAC is found to be effective, then it offers several benefits: decreased waiting times, decreased crowds in the PAC room, decreased need for patients to travel to the hospital, etc.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 盲法
- None
入排标准
- 年龄范围
- 18.00 Year(s) 至 99.00 Year(s)（—）
- 性别
- All
入选标准
- •Adult patients more than or equal to 18 yrs
- •ASA grades 1 to 3
- •Planned for elective surgery and scheduled to undergo PAC.
排除标准
- •Patients with restricted mobility (Wheel-chair or trolley bound) – where accessing tele-consult facilities may be a problem
- •Patients with cognitive or hearing impairment
- •Patients who cannot speak or understand English, Hindi or Marathi
- •Refusal of consent.
结局指标
主要结局
The primary outcome will be the degree of concordance between virtual and in-person PAC for the objectives mentioned.
时间窗: At the end of 24 hours of both PAC evaluation
In particular, a sub-group analysis will be done for those patients with
时间窗: At the end of 24 hours of both PAC evaluation
a) Difficult airway on in-person PAC
时间窗: At the end of 24 hours of both PAC evaluation
b) Cardiac and pulmonary disorders detected on in-person PAC (active wheeze, crepitations, cardiac murmur)
时间窗: At the end of 24 hours of both PAC evaluation
c) Other conditions detected at in-person PAC (e.g., undiagnosed hypertension)
时间窗: At the end of 24 hours of both PAC evaluation
次要结局
- The secondary outcomes include assessment of patient and anaesthesiologist satisfaction with the virtual PAC process(At the end of 24 hours of both PAC evaluation)
研究者
Dr Priya Ranganathan
Tata Memorial Hospital