Anesthesia in children
Conditions
Interventions
Group 1: Intervention group (teleconsultation by anesthesiologist X at time T1, physical examination and obtaining legally compliant consent by anesthesiologist Y at time T2)
Group 2: control group (t
Sponsors
Universitätsmedizin Göttingen
Eligibility
Sex/Gender
All
Age
No minimum to 18 Years
Inclusion criteria
Inclusion criteria: - Information provided and consent to participate in the study obtained from legal guardians with the involvement of patients - Elective surgery or intervention with anesthesia scheduled for the patient on the first or second day after (pre-)hospital admission - Willingness to participate in a teleconsultation 36-96 hours prior to (pre-)hospital admission and availability of both parties for a teleconsultation during the specified period - Anesthesiological risk classification according to ASA grade I to IV - Suitable interpreter available in the event of a relevant language barrier, who is present at both appointments
Exclusion criteria
Exclusion criteria: - Refusal to participate in the study project by legal guardians and/or children - Technical problems (e.g., insufficiently stable internet access or insufficiently adequate access to the software used to conduct the teleconsultation or for subsequent evaluation) - No suitable interpreter available in the event of a relevant language barrier who is present at both appointments - Pre-anesthetic examination for the planned elective surgery already performed at an earlier date - Double participation - Anesthetic risk classification according to ASA grade V or higher
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Rate [in %] of incidents and additions identified during physical presence (physical examination, obtaining legally valid consent) that necessitate a change in the upcoming anesthesiological procedure previously determined during the teleconsultation. | — |
Secondary
| Measure | Time frame |
|---|---|
| Patient satisfaction: - Assessment of stress levels (NRSStress) before the teleconsultation, after the teleconsultation, and after the remaining consultation in person [scale 0-10] in comparison of both study arms* - Assessment of anxiety levels (NRSAngst) before the teleconsultation, after the teleconsultation, and after the remaining consultation in person [scale 0-10] in comparison of both study arms* - Assessment of pre-anesthesiological consultation via teleconsultation with regard to closer ties to anesthesiology through more frequent and earlier contact with anesthesiologists [scale 0-10] in the overall cohort - Assessment of organization [scale 0-10] in the overall cohort - Evaluation of technical applicability [scale 0-10] in the overall cohort Physician satisfaction: - Evaluation of the organization [scale 0-10] in the overall cohort and in comparison of both study arms - Evaluation of technical applicability [scale 0-10] in the overall cohort - Assessment of workload through preparation and implementation [scale 0-10] in the overall cohort and in comparison of both study arms Patient outcome: - Adverse clinical events (AVB, anesthesiological observations = perioperative events requiring intervention) associated with teleconsultation [rate in % and descriptive by severity] in comparison of both study arms Economic impact: - Assessment of the change in costs with regard to staff remuneration and additional staff expenses in the overall cohort and in comparison of both study arms - Assessment of possible cost influences in connection with changes in the surgical program that may be related to the pre-anesthesiological assessment via teleconsultation in the overall cohort and in comparison of both study arms Ecological impact: - Assessment of the benefits in terms of the possible elimination of necessary travel to the (pre-)inpatient admission in cases where contraindications for performing the surgical procedure on the initially pla | — |
Countries
Germany
Contacts
Public ContactClemens Miller
Universitätsmedizin Göttingen
Outcome results
None listed