Anesthesia Clinical Trial
Official title:
Time Involved in Patient Information During Preoperative Assessment Clinic and Ratio Between Evaluation and Information Times
The aim of the preoperative assessment clinic (PAC) is to ensure optimal anaesthesia, reduce
the morbidity associated with surgery, to increase the quality and decrease the cost of
perioperative care 1. In addition, the PAC is an appropriate time to educate the patient on
anaesthesia, perioperative care, and pain treatments, to reduce anxiety, to develop care
plans, and to obtain informed consent. Moreover, a strong correlation exists between the time
spent at the PAC and patient satisfaction2,3.
A high variability of preoperative assessment clinic (PAC) times is a reason for waiting time
for patient. A better match between the reserved PAC time and the real consultation time
could improved efficiency in consultation theatre. The PAC time depends on various
parameters. On average the preoperative assessment of patients with a higher American Society
Anesthesiologists' (ASA) class requires more time 4. In other monocentric study, the mean
(SD) procedure time was 13 (6) min for the physician. It was significantly longer for
patients with a higher ASA class : 10 min for ASA I, 14 min for ASA II, 17 min for ASA III
and 21 min for ASA IV patients. In this monocentric study, every patient had a nurse
consultation before PAC by the anesthesiologist.
The primary endpoint of this study was to assess the time involved in preoperative assessment
clinic included the time during patient's health status has to be assessed (this encompasses
a medical history and physical examination) and the time during the patient education on
anaesthesia, perioperative care and pain treatments, to reduce anxiety, to develop care plans
and to obtain informed consent.
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