Validation of Telemedicine Pre-anesthesia Consultation in Low-risk Anesthetic Patients Undergoing Ambulatory Surgery
- Conditions
- Outpatient SurgeryTelemedicine
- Interventions
- Other: TCAD (telemedicine anesthesia consultation)
- Registration Number
- NCT04028622
- Lead Sponsor
- University Hospital, Grenoble
- Brief Summary
The purpose of this study is to validate the teleconsultation of anesthesia in anesthetic low risk patients and undergoing outpatient surgery.
- Detailed Description
Anesthesia consultation is a necessary and obligatory step in the process of anesthesia. Telemedicine anesthesia consultation (TCAD) experiments have been successfully conducted in the United States, demonstrating the technical feasibility and medical relevance of the approach. In partnership with the Rhône-Alpes Regional Health Agency, an Telemedicine anesthesia consultation will be set up at the University Hospital Grenoble for low-risk anesthetic and surgical patients via a telemedicine platform accessible to patients' homes. Avoiding transport, unclog consultations in hospitals, and avoiding absences from work for traditional consultations are some of the advantages of this new method of consultation. This project involves assessing the feasibility, safety, and costs associated with home anesthesia teleconsultation for patients requiring outpatient surgery.
Recruitment & Eligibility
- Status
- WITHDRAWN
- Sex
- All
- Target Recruitment
- Not specified
- Patients scheduled for ambulatory surgery with anesthesia procedures
- Patients with American Society of Anesthesiologists score 1 or 2.
- Patients with visual and auditory acuity, language proficiency.
- Non-urgent surgery
- Affiliation to the French Social Security
- patient with American Society of Anesthesiologists score 2 and complex treatments
- Complex surgical procedure
- Patient taking anticoagulant and / or antiplatelet treatments
- Patient having a serious problem during a previous surgery
- Pregnant woman
- Patient under guardianship or deprivation of liberty by judicial decision.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description TCAD (telemedicine anesthesia consultation) TCAD (telemedicine anesthesia consultation) Patients having a telemedicine anesthesia consultation
- Primary Outcome Measures
Name Time Method Validation of anesthesia teleconsultation in low-risk anesthetic patients undergoing outpatient surgery 24 hours post surgery Patients rate with performed surgery following a successful telemedicine anesthesia consultation without cancellation or postponement of surgery
- Secondary Outcome Measures
Name Time Method Cancellation or postponement surgery rate 24 hours post surgery Patients rate
Patient rate, seen in teleconsultation, secondarily oriented towards a conventional consultation 24 hours post surgery Patients rate
Physician satisfaction with anesthesia teleconsultation up to 1 hour post anesthesia teleconsultation outset Global satisfaction level (regarding the sound and picture quality, respect of confidentiality and privacy, clinical observations collection quality, recommend teleconsultation for the next anesthesia consultation) using Numerical Rating Scale from 0 to 10, 0 : extremely unsatisfied, 10= extremely satisfied.
Anesthesia teleconsultation failure rate for technical reasons up to 1 hour post anesthesia teleconsultation outset Rate of patients who did not benefit from anesthesia teleconsultation for technical reasons
Extension of the ambulatory stay rate 24 hours post surgery Patients rate
Readmitted patients rate 24 hours post surgery Rate of readmitted patients related with surgery and assigned to the teleconsultation
Cost of transportation from home to hospital at 7 days post hospital discharge Cost ( euros)
Patient satisfaction with anesthesia teleconsultation at 7 days post hospital discharge Global satisfaction level (regarding the sound and picture quality, respect of confidentiality and privacy, recommend or choose teleconsultation for the next anesthesia consultation) using Numerical Rating Scale from 0 to 10, 0 : extremely unsatisfied, 10= extremely satisfied.
Rate of transportation carbon footprint saved using anesthesia teleconsultation at 7 days post hospital discharge co2 equivalent