Overview
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.
Description
The secondary objectives are:
- to analysis the impact of the transmission on:
- the occurence of different events: re-hospitalization, serious complications, death at one month;
- the duration of initial ICU stay and of hospitalization;
- the duration of the transmission;
- 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.
Eligibility
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.