Cataract
Conditions
Brief summary
This study aims to demonstrate that presurgical assessement of patients' risk factors and surveillance during surgery, both performed by nurses, are not inferior to anesthetic team's care, concerning the rate of complications in cataract surgery with topical anesthesia. The nurse performs the triage of patients based on a chart of risk factors assessment. The triage, according to the presence or not of risk factors, leads to patients' care by an anesthetic team (medical anesthesist for pre-surgical assessement and anesthetic nurse for surveillance during surgery) or to patients' pre-surgical assessement and surveillance during surgery both performed only by nurses. In the control group, all patients are taken care of by an aesthetic team, with medical pre surgical assessement and surveillance during surgery both performed by anesthetic nurses.
Interventions
OTHERnurses perform presurgical assessement and surveillance during surgery
OTHERthe anesthetic team performs presurgical assessement and surveillance during surgery
Sponsors
Fondation Ophtalmologique Adolphe de Rothschild
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* age \> 18 years old * cataract surgery scheduled with topical anesthetics * outpatient surgery
Exclusion criteria
* presurgical nurse assessment leading to the need for the anesthetic staff presence during surgery * general, peribulbar or other locoregional anesthesia required by patient's condition * concomitant surgery planified (glaucoma, vitrectomy…) * patient's refusal to participate in the study * no health insurance coverage
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of complications | through study completion, up to 6 months | complications occuring in operating theatre include systolic blood pressure \> 200 mmHg or \< 80 mmHg, diastolic blood pressure \> 110 mmHg, heart rate \< 45/mn for at least 1 mn, oxygen saturation (SpO2) \<90% for at least 1 mn, impossibility to start or to pursue surgery because of patient condition. |
Countries
France
Outcome results
None listed