Pupillometry Use & Professional's Inspection : Leveling Subjectivity (PUPILS)

CHU de Reims

Status: Completed

Conditions: Neurological Examination; Observer Variation; Interprofessional Relations; Pupil Assessment; Nursing Assessment; Diagnostic Techniques and Procedures; Clinical Competence; Pupillometry; Comparative Effectiveness Research; Intensive Care

Treatments: Other: Pupil examination

Study type: Observational

Funder types: Other

Identifiers

NCT06733207

PO24112

Details and patient eligibility

About

This prospective, non interventionneal, mono-centric study aims to evaluate the accuracy and quality of pupil assessment among three different groups: senior physicians, anesthesiology residents, and nurses. Pupil assessment is a critical component in anesthesia and emergency medicine, providing essential information about a patient's neurological status and response to medications.

Full description

This study aims to assess if there is a significant differences in the accuracy and reliability of pupil evaluations between senior physicians, residents, and nurses when compared to the gold standard of pupillometry, an objective and precise measurement technique.

The study will involve a series of assessments where each participant will evaluate patients' pupils under controlled conditions. The results will be compared against the measurements obtained from pupillometry to determine how closely each group aligns with this standard.

By identifying any discrepancies in pupil assessment skills among the different professional groups, we hope to highlight areas for improvement in training and practice. Ultimately, this research aims to enhance patient care by ensuring that pupil evaluations are performed accurately and consistently across all levels of healthcare providers.

The findings from this study could lead to improved training protocols and potentially influence guidelines for pupil assessment in clinical practice, contributing to better patient outcomes in anesthesia and emergency settings.

Enrollment: 30 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Hospitalized in Intensive Care
• Patients who gave their consent to participate to the study, or, if incapable of giving their consent, for whom their designated trusted person has provided their consent.

Exclusion criteria

• Aged under 18 years
• Undergoing ocular surgery
• Unable to evaluate both pupils
• Not affiliated with a social security scheme

Trial design

30 participants in 1 patient group

Patients in Intensive Care

Description:

This prospective diagnostic study involves a single cohort of patients undergoing pupil assessment. Within this cohort, the evaluations will be performed by three distinct sub-cohorts of healthcare providers: * Senior physicians : Experienced anesthesiologists or critical care specialists with extensive training in pupil evaluation and neurological assessment. * Anesthesiology Residents: Trainees responsible for assessing the pupils of the patients, focusing on their developing assessment skills. * Nurses: Registered nurses involved in the assessment of patients' pupils as part of their routine care.

Treatment:

Other: Pupil examination