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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| nurses (intervention arm) | Experimental | for patients without risk factors, the anesthetic team is not involved in patients' care |
|
| anesthetic team (control arm) | Active Comparator | the anesthetic team is involved in every patient's care (with or without risk factors) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| nurses perform presurgical assessement and surveillance during surgery | Other |
| ||
| the anesthetic team performs presurgical assessement and surveillance during surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of complications | 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. | through study completion, up to 6 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jean-Michel Devys, MD | Fondation Ophtalmologique Adolphe de Rothschild | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Fondation Ophtalmologique Adophe de Rothschild | Paris | 75019 | France |
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| Other |
|
| ID | Term |
|---|---|
| D002386 | Cataract |
| ID | Term |
|---|---|
| D007905 | Lens Diseases |
| D005128 | Eye Diseases |
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