Major Surgery
Conditions
Keywords
Major surgery, Morbility, Mortality, Training in peroperative, Handover, Anaesthetist, Nurse anaesthetist
Brief summary
The primary objective of the study is to evaluate the efficacy of standard handover with AnesList© between physician anesthesists in operating room, for a complete transmission for a patient, on the occurence of event as death, serious complications or rehospitalization in month of postoperative after major surgery.
Detailed description
The secondary objectives are: * to analysis the impact of the transmission on: 1. the occurence of different events: re-hospitalization, serious complications, death at one month; 2. the duration of initial ICU stay and of hospitalization; 3. the duration of the transmission; 4. the quality of the transmission by the physician leaving operating room. * to evaluate the condition of the transmission * to study the persistence of the use of the AnesList© at 6 months after the end of inclusions in the center * to evaluate the satisfaction on AnesList© and on the training with the tool and the obstacles of its utilization * to evaluate the morbility-mortality in the centers of the centers before, during and 6 months after the beginning of the study.
Interventions
OTHERTraining with AnesList©
Training with AnesList© as tool
Sponsors
Assistance Publique - Hôpitaux de Paris
Study design
Observational model
CASE_CONTROL
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patient aged \> 18 years; * Patients with score ASA I-IV; * Requiring urgent or planned surgery; * Major surgery (duration of surgery \> 2 hours, requiring a hospital stay of at least 1 night): orthopedics, cardiac, vascular, thoracic, visceral, ENT, plastic surgery; * Handover between two anesthesists defined as a definitive relay between one physician anaesthesist and another in operating room; * Intensive care anesthesists and nurse anaesthetist working in investigator center during the study; * Affiliated to a social security system; * No-opposition to participating to the study.
Exclusion criteria
* Transmission between physician anaesthesist and nurse anaesthetist; * Medical transmission occurs out of anesthesia care out of operating room; * Medical transmission occurs in transitory manner (for example: coffee time, lunch time); * Patients enrolled in an another ongoing study of surgical intervention.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The occurence of adverse events | at 1 month | Death, serious complications and re-hospitalization will be noted in order to evaluate the efficacy of standardized transmission with AnesList©. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The duration of hospitalization | through study completion, an average of 18 months | The length of initial hospitalization will be noted. |
| Evaluate of the condition of transmission | through study completion, an average of 18 months | By the presence or intervention of anaesthetics-nurse, recorded or not the transmission in medical files. |
| Utilization of the AnesList© by anaesthesists at 6 months | at 6 months | Only for intervention group: use on cell phone or with printed form: the use will be noted. |
| The duration of ICU stay | through study completion, an average of 18 months | The length of initial ICU stay will be noted. |
| Interaction with study nurse | through study completion, an average of 18 months | The study nurse will evaluate the existence and composite of the interaction between the anesthesist who receiving the transmission and the nurse. |
| Morbi-mortality | through study completion, an average of 18 months | The method of chronological series will be used to analysis the morbi-mortality in investigator center. |
| Quality of medical transmission | through study completion, an average of 18 months | Scale will be noted by anaesthesists between 0 and 22: 20% of recorded transmission will be noted. |
Countries
France
Contacts
Primary ContactDominique FLETCHER, MD, PhD
Backup ContactAicha KASSOUL, MD
Outcome results
None listed