Patient recovery and the post-anaesthesia care unit (PACU)

Davidson, Marie; Litchfield, K.

doi:10.1016/j.mpaic.2018.06.002

Cited by 5 publications

(19 citation statements)

References 4 publications

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“…This practice is unsafe since postoperative period is crucial for the safety of the patient and life-threatening complications happen during this period. Patients should be admitted in specific postoperative recovery given that PACU has help to improve outcome after surgery [ 38 , 62 ]. Furthermore, patients left postoperatively in the operating room presented high risk of death.…”

Section: Discussionmentioning

confidence: 99%

General anaesthesia related mortality in a limited resource settings region: a retrospective study in two teaching hospitals of Butembo

Pascal

Malisawa²,

Barratt‐Due

et al. 2021

BMC Anesthesiol

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Background General anaesthesia (GA) in developing countries is still a high-risk practice, especially in Africa, accompanied with high morbidity and mortality. No study has yet been conducted in Butembo in the Democratic Republic of the Congo to determine the mortality related to GA practice. The main objective of this study was to assess mortality related to GA in Butembo. Methods This was a retrospective descriptive and analytic study of patients who underwent surgery under GA in the 2 main teaching hospitals of Butembo from January 2011 to December 2015. Data were collected from patients files, anaesthesia registries and were analysed with SPSS 26. Results From a total of 921 patients, 539 (58.5%) were male and 382 (41.5%) female patients. A total of 83 (9.0%) patients died representing an overall perioperative mortality rate of 90 per 1000. Out of the 83 deaths, 38 occurred within 24 h representing GA related mortality of 41 per 1000. There was a global drop in mortality from 2011 to 2015. The risk factors of death were: being a neonate or a senior adult, emergency operation, ASA physical status > 2 and a single deranged vital sign preoperatively, presenting any complication during GA, anaesthesia duration > 120 minutes as well as visceral surgeries/laparotomies. Ketamine was the most employed anaesthetic. Conclusion GA related mortality is very high in Butembo. Improved GA services and outcomes can be obtained by training more anaesthesia providers, proper patients monitoring, improved infrastructure, better equipment and drugs procurement and considering regional anaesthesia whenever possible.

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Section: Discussionmentioning

confidence: 99%

General anaesthesia related mortality in a limited resource settings region: a retrospective study in two teaching hospitals of Butembo

Pascal

Malisawa²,

Barratt‐Due

et al. 2021

BMC Anesthesiol

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“…The challenge of post-anesthetic care with an increasingly aging population is the management of chronic diseases, health conditions, and progress in surgical interventions; increasingly, greater numbers of patients are attended with multiple comorbidities for numerous complex surgeries. (96) The recovery or post-anesthetic period starts when the patient is transferred to the recovery ward or post-anesthetic care unit (PACU) until the patient recovers conscience and capacity to communicate, maintaining, protecting and stabilizing their respiratory tract and achieving cardiovascular health. This period is not free of risks, hence, patients subjected to neuroaxial or general anesthesia must be cared for in specially designed areas and staffed; (96) it is a clinical area designed within the surgical center in which patients receive continuous care after surgery and anesthesia.…”

Section: Nursing Care During the Post-operativementioning

confidence: 99%

“…(96) The recovery or post-anesthetic period starts when the patient is transferred to the recovery ward or post-anesthetic care unit (PACU) until the patient recovers conscience and capacity to communicate, maintaining, protecting and stabilizing their respiratory tract and achieving cardiovascular health. This period is not free of risks, hence, patients subjected to neuroaxial or general anesthesia must be cared for in specially designed areas and staffed; (96) it is a clinical area designed within the surgical center in which patients receive continuous care after surgery and anesthesia. These areas are served by trained individuals who provide care to patients until they are in conditions for discharge or are transferred to other clinical areas of the institution.…”

Section: Nursing Care During the Post-operativementioning

confidence: 99%

“…These areas are served by trained individuals who provide care to patients until they are in conditions for discharge or are transferred to other clinical areas of the institution. (96) An anesthesiologist must be available at all times to assess and manage patients whenever clinical necessity arises, or on emergency call. Continuous professional development is necessary to maintain standards and guarantee that knowledge, skills and update of new techniques and progress are obtained, such as management of difficult airway and pain management with pharmacological and non-pharmacological means.…”

Section: Nursing Care During the Post-operativementioning

confidence: 99%

“…These need not be of high fidelity and permit formation of the multidisciplinary team. (96) Patient care uses different empirical indicators, which include the Aldrete scale and the Bromage scale among others. The unit must be equipped with minimum pulse oximetry equipment, multiparameter monitors that display the electrocardiogram, non-invasive pressure, capnographs in case the patient is intubated, thermometers, crash cart, defibrillator, infusion pumps, among many others.…”

Section: Nursing Care During the Post-operativementioning

confidence: 99%

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Nursing Care during the Perioperative within the Surgical Context

Maya¹

2022

invest. educ. enferm

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The study describes basic nursing care during the perioperative. Introduces the origins of perioperative nursing, general care that must be practiced with patient in this context. During the preoperative, care related with risk assessment and preparation of patient from the emotional and physical point of view are important. The trans-operative is related with the anesthesia used, surgical position, preparation of the skin, maintenance of normothermia, among many others. The postoperative depends on the type of anesthesia and surgical procedure, emphasizing on airway permeability, hemodynamic stability, pain, and symptomatology being presented by patients until they are stable and suitable for transfer to another service or their home.

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Hypothermia With Paradoxical Symptoms: A Case Series of Cesarean Deliveries With Intrathecal Morphine

Munday¹,

Ramis²,

Kynoch³

et al. 2023

AORN Journal

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Women receiving intrathecal morphine for cesarean delivery may experience hypothermia with paradoxical symptoms of sweating, nausea, and shivering. Despite being relatively rare in comparison to commonly experienced symptoms of perioperative hypothermia, hypothermia with paradoxical symptoms affects early maternal recovery and comfort. The cause is undetermined, and treatment approaches vary. Regular active‐warming strategies may not be tolerated because of the paradoxical symptoms of sweating and feeling overheated. This case series aims to explore the phenomenon through the evaluation of health care records of women receiving intrathecal morphine for cesarean delivery at a single, tertiary health care institution in Australia from 2015 to 2018. We also summarize published literature to review treatment approaches used in the care of women experiencing profound heat loss while feeling overheated.

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Patient recovery and the post-anaesthesia care unit (PACU)

Cited by 5 publications

References 4 publications

General anaesthesia related mortality in a limited resource settings region: a retrospective study in two teaching hospitals of Butembo

General anaesthesia related mortality in a limited resource settings region: a retrospective study in two teaching hospitals of Butembo

Nursing Care during the Perioperative within the Surgical Context

Hypothermia With Paradoxical Symptoms: A Case Series of Cesarean Deliveries With Intrathecal Morphine

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