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NCT Number: NCT06732921

Recovery Control Tower Feasibility Pilot

A pilot study in perioperative telemedicine that aims to demonstrate the efficiency, and safety of integrating telemedicine into the PACU environment. This pilot study will expand on our previously conducted proof-of-concept study for a telemedicine solution in the PACU. If this pilot study proves to be successful, the study team intends subsequently to expand such a telemedicine solution to multiple clinical locations.

Active, Not Recruiting

This study is active but is not currently recruiting participants.

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Key information

Conditions

Elective Surgery

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Washington University School of Medicine

St Louis, Missouri, 63110, United States

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

  • Adults (18 years and older)
  • Undergoing elective surgery at Barnes Jewish Hospital in St. Louis, Missouri will be enrolled.

Treatment and study plan

Alertwatch - Recovery Control Tower

Device

Decision-support software, customized for the PACU environment, Interaction between the telemedicine center and the PACU

Primary outcomes

  1. Time spent in PACU

    Time frame: Day of surgery

    Time patient enters PACU to time patient leaves PACU

Secondary outcomes

  1. Time to PACU sign-out by anesthesia clinician

    Time frame: From the time the patient enters post-anesthesia care unit until time patient leaves post-anesthesia care unit, assessed up to 24 hours after surgery.

    Time patient enters PACU to time discharge note is signed in EHR by anesthesiologist

  2. Pain score in PACU

    Time frame: From the time the patient enters post-anesthesia care unit until time patient leaves post-anesthesia care unit, assessed up to 24 hours after surgery.

    0 to 10 (numeric rating scale [NRS]) - 0 correspond to no pain, ≤ 3 to mild pain, 4-6 to moderate, and scores ≥7 to severe pain

  3. PONV status in PACU

    Time frame: From the time the patient enters post-anesthesia care unit until time patient leaves post-anesthesia care unit, assessed up to 24 hours after surgery.

    None, resolved, resolved and tolerable, persists despite treatment, unable to evaluate

  4. Clinician interactions - Number of contacts RCT clinicians receive from PACU clinicians

    Time frame: From the time the patient enters post-anesthesia care unit until time patient leaves post-anesthesia care unit, assessed up to 24 hours after surgery.

    Reason for contact will be logged (i.e. order placement requests, patient assessments)

  5. Clinician interactions - Number of contacts RCT clinicians make to PACU clinicians for on-the-ground intervention

    Time frame: From the time the patient enters post-anesthesia care unit until time patient leaves post-anesthesia care unit, assessed up to 24 hours after surgery.

    Reason for contact will be logged

  6. Safety events - Return to hospital

    Time frame: 24 hours

    New admission notes, and ED/urgent care notes

  7. Safety events - Number of participants with elevation of care

    Time frame: 24 Hours

    Patients with floor to ICU transfer, and unplanned floor to OR (return to OR)

  8. Safety events - Number of participants with administration of rescue drugs

    Time frame: 24 Hours

    Events of Naloxone (opioid overdose) and Flumazenil (benzodiazepine overdose) administration

  9. Safety events - Significant event notes

    Time frame: 24 Hours

    To identify death events

  10. PACU clinician satisfaction

    Time frame: Through study completion, an average of 1 year

    From monthly surveys

Sponsors and collaborators

Lead sponsor

Washington University School of Medicine

Other

Registry information

Official study title

Protocol for a Pilot Interventional Study Evaluating the Efficiency and Safety of a Telemedicine Solution for the Post-Anesthesia Care Unit

Acronym: RCT Pilot

Important dates

Study start
2023
Primary completion
2024
Study completion
2025
First posted
Dec 13, 2024
Registry last updated
Jul 31, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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