Spinal Versus General Anesthesia for Ambulatory Anesthesia

Completed

Brief Summary: The purpose of this study is to describe, in real-life conditions, the factors influencing the choice of anesthesia (spinal anesthesia or short general anesthesia) in outpatient surgery.

Detailed Description: This is a cross-sectional, observational, prospective, multicentre study, conduct in France among a representative sample of anesthesiologists.

The factors influencing the choice of anesthesia (spinal anesthesia or short general anesthesia) will be assessed in patients undergoing an outpatient surgery. Data will be collected by the physician during the inclusion visit (peripostoperative consultation). Additional data regarding the patient's perception (pain and satisfaction) will be collected using a self-questionnaire 7 days after the surgery.

Recruitment & Eligibility

Inclusion Criteria

Adult patients undergoing an ambulatory surgery
Patients for whom either a spinal anesthesia or a short general anesthesia is planned
Patients accepting and able to complete a self-administered questionnaire in French language
Informed patients who accept the computer processing of their medical data and their right of access and correction

Exclusion Criteria

Patients with contra-indications to elective ambulatory surgery
Emergency surgeries
Patient for which both spinal anesthesia and short general anesthesia coexist
Patients with contra-indications to spinal anesthesia (due to surgical procedure site, comorbidities or patient's treatment)
Patients participating or having participated in the previous month in a clinical trial in anaesthesiology

Primary Outcome Measures

Name	Time	Method
Factors influencing the choice of anesthesia (spinal anesthesia or short general anesthesia	During the perioperative consultation (patients are included at the time of the perioperative consultation prior to their surgery): baseline visit	All proposed factors will be described using a 4-levels verbal scale (decisive / important / of little importance / unimportant). The factors will be described from the questionnaire completed by the investigator during the inclusion visit, before the surgery. Decisive factors for the choice of anesthesia will be described and compared between the two subgroups.spinal anesthesia and short general anesthesia.

Secondary Outcome Measures

Name	Time	Method
Use and safety of Baritekal® (prilocaine) if applicable	During surgery	Modalities of spinal anesthesia with prilocaine. Percentage and nature of adverse effect (serious or not) after intrathecal anaesthesia with prilocaine.
Patients' characteristics in each subgroups	At the time of the perioperative consultation prior to their surgery (start of the inclusion visit or baseline visit)	Patients' characteristics (demographic data, ASA physical status, risk factors...) will be described from the questionnaire completed by the investigator during the inclusion visit, before the surgery.
Patients' pain according to the type of anesthesia using a VAS scale	Up to 7 days after surgery	Will be described from the self-questionnaire completed by the patient 7 days after the surgery.
Costs of spinal and general anesthesia	The day of the surgery	Will be described from the questionnaire completed by the investigator during the inclusion visit.
Postoperative period from waking up to eligibility for discharge from hospital according to the type of anesthesia	Up to 24h after the surgery	Will be described from the questionnaire completed by the investigator during the inclusion visit, after the surgery.
Patients' satisfaction according to the type of anesthesia based on 2 questions using a 4-levels verbal scale	7 days after surgery (i.e. 7 days after the inclusion)	Will be described from the self-questionnaire completed by the patient 7 days after the surgery.

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