Department of Anesthesia and Intensive Care, University Hospital of Toulouse, Toulouse, France.
Department of Anesthesia and Intensive Care, Children Hospital, University Hospital of Toulouse, Toulouse, France.
Paediatr Anaesth. 2023 Jul;33(7):552-561. doi: 10.1111/pan.14663. Epub 2023 Apr 3.
The COVID-19 pandemic has prompted the development of anesthesia teleconsultation in many countries. In pediatric anesthesia, data about anesthesia teleconsultation are scarce. The main objective of this prospective descriptive study was to provide an evaluation of the feasibility of pediatric anesthesia teleconsultation. Perception of the safety and quality, parental and medical satisfaction were also assessed.
From September to December 2020, patients undergoing a pediatric anesthesia teleconsultation in Toulouse University Hospital, using the TeleO™ dedicated teleconsultation platform were prospectively included. Feasibility was defined as the rate of anesthesia teleconsultations successfully performed using the TeleO™ platform alone. Questionnaires regarding the quality, safety, and satisfaction were filled in by physicians and families.
A total of 114 children (3 months-17 years) were included in the study. Feasibility was 82%, failure was mainly caused by technical issues. Physicians estimated that the safety and quality of anesthetic preparation were optimal in 100% of cases. Anesthetists were satisfied (VAS ≥70/100) with the medical, technical, and relational (child/parents) aspects of anesthesia teleconsultation in 91%, 64%, and 84%/90% of cases respectively. Almost all parents (97%) stated that they would agree to anesthesia teleconsultation for a future procedure.
In this first assessment, pediatric anesthesia teleconsultation appears to be feasible, with high rates of medical and parental satisfaction. Physicians' perception of the safety and quality of this process were positive. Improving the technical process might be a key determinant to promote further development of pediatric anesthesia teleconsultation.
COVID-19 大流行促使许多国家开展了麻醉远程咨询。在儿科麻醉中，有关麻醉远程咨询的数据很少。本前瞻性描述性研究的主要目的是评估儿科麻醉远程咨询的可行性。还评估了安全性和质量感知、父母和医疗满意度。
2020 年 9 月至 12 月，在图卢兹大学医院使用专用远程咨询平台 TeleO™对接受儿科麻醉远程咨询的患者进行前瞻性纳入。可行性定义为使用 TeleO™平台成功进行麻醉远程咨询的比率。医生和家庭填写了关于质量、安全性和满意度的问卷。
共有 114 名儿童（3 个月至 17 岁）纳入研究。可行性为 82%，失败主要是由于技术问题造成的。医生估计，在 100%的情况下，麻醉准备的安全性和质量都是最佳的。麻醉师对麻醉远程咨询的医疗、技术和关系（儿童/父母）方面非常满意（VAS≥70/100），分别为 91%、64%和 84%/90%。几乎所有家长（97%）表示，他们将同意在未来的手术中进行麻醉远程咨询。
在首次评估中，儿科麻醉远程咨询似乎是可行的，医疗和家长满意度都很高。医生对该过程的安全性和质量的感知是积极的。改进技术流程可能是促进儿科麻醉远程咨询进一步发展的关键决定因素。
