Validation of Telemedicine Pre-anesthesia Consultation in Low-risk Anesthetic Patients Undergoing Ambulatory Surgery

Study Overview
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Brief Summary
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The purpose of this study is to validate the teleconsultation of anesthesia in anesthetic low risk patients and undergoing outpatient surgery.

Detailed Description
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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.

Official Title
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Validation of Telemedicine Pre-anesthesia Consultation in Low-risk Anesthetic Patients Undergoing Ambulatory Surgery

Conditions
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Outpatient Surgery, Telemedicine

Intervention / Treatment
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* Other: TCAD (telemedicine anesthesia consultation)


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 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 Exclusion Criteria: 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.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: TCAD (telemedicine anesthesia consultation)<br>Patients having a telemedicine anesthesia consultation | Other: TCAD (telemedicine anesthesia consultation)<br>* Patients in the TCAD (telemedicine anesthesia consultation) group, arrange their bookings on a website and realise their anesthesia consultation from a platform from home<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Validation of anesthesia teleconsultation in low-risk anesthetic patients undergoing outpatient surgery | Patients rate with performed surgery following a successful telemedicine anesthesia consultation without cancellation or postponement of surgery | 24 hours post surgery | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Anesthesia teleconsultation failure rate for technical reasons | Rate of patients who did not benefit from anesthesia teleconsultation for technical reasons | up to 1 hour post anesthesia teleconsultation outset | 
| Cancellation or postponement surgery rate | Patients rate | 24 hours post surgery | 
| Patient rate, seen in teleconsultation, secondarily oriented towards a conventional consultation | Patients rate | 24 hours post surgery | 
| Extension of the ambulatory stay rate | Patients rate | 24 hours post surgery | 
| Readmitted patients rate | Rate of readmitted patients related with surgery and assigned to the teleconsultation | 24 hours post surgery | 
| Patient satisfaction with anesthesia teleconsultation | 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. | at 7 days post hospital discharge | 
| Physician satisfaction with anesthesia teleconsultation | 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. | up to 1 hour post anesthesia teleconsultation outset | 
| Cost of transportation from home to hospital | Cost ( euros) | at 7 days post hospital discharge | 
| Rate of transportation carbon footprint saved using anesthesia teleconsultation | co2 equivalent | at 7 days post hospital discharge | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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ambulatory, anesthesia, consultation, telemedicine