Bypassing Anesthesiologist Assessment Before Cataract Surgery: a Non Inferiority Study (CATARIDE)

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.

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.

Inclusion Criteria: age > 18 years old cataract surgery scheduled with topical anesthetics outpatient surgery Exclusion Criteria: presurgical nurse assessment leading to the need for the anesthetic staff presence during surgery general, peribulbar or other locoregional anesthesia required by patient's condition concomitant surgery planified (glaucoma, vitrectomy…) patient's refusal to participate in the study no health insurance coverage