Relevant bibliographies by topics / Postanaesthetic care unit (PACU)

Academic literature on the topic 'Postanaesthetic care unit (PACU)'

Author: Grafiati
Published: 10 December 2022
Last updated: 28 January 2023

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Journal articles on the topic "Postanaesthetic care unit (PACU)"

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Son, Ilsoon, Chung-Sik Oh, Jae Won Choi, and Seong-Hyop Kim. "The Effect of Sufentanil Administration on Remifentanil-Based Anaesthesia during Laparoscopic Gynaecological Surgery: A Double-Blind Randomized Controlled Trial." Scientific World Journal 2014 (2014): 1–7. http://dx.doi.org/10.1155/2014/701329.

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This study assessed the effect of sufentanil administered before conclusion of remifentanil-based anaesthesia on postoperative hyperalgesia and haemodynamic stability in patients undergoing laparoscopic gynaecological surgery. The patients were randomly allocated to a sufentanil administration group (S group) or a normal saline administration group (C group). Anaesthesia was induced and maintained with controlled administration of remifentanil at 10 ng·mL−1and propofol under bispectral index guidance. Once the surgical specimen was procured, sufentanil or normal saline was administered at 0.15 ng·mL−1and maintained until extubation. The haemodynamic status during anaesthetic emergence was evaluated. The pain and postoperative nausea and vomiting (PONV) were assessed for 72 h following postanaesthetic care unit (PACU) discharge. The S group had significantly lower mean systemic arterial blood pressure and heart rate changes between the start of drug administration and extubation. Postoperative pain was significantly lower in the S group until 24 h following PACU discharge. There were no significant differences in PONV incidence and severity 72 h after PACU discharge between the two groups. Sufentanil administration before concluding remifentanil-based anaesthesia improved postoperative hyperalgesia and achieved haemodynamic stability at extubation without delaying recovery or increasing PONV during laparoscopic gynaecological surgery. Clinical trial registration is found atKCT0000785.
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Kang, Joo-Eun, Chung-Sik Oh, Jae Won Choi, Il Soon Son, and Seong-Hyop Kim. "Postoperative Pharyngolaryngeal Adverse Events with Laryngeal Mask Airway (LMA Supreme) in Laparoscopic Surgical Procedures with Cuff Pressure Limiting 25 cmH2O: Prospective, Blind, and Randomised Study." Scientific World Journal 2014 (2014): 1–7. http://dx.doi.org/10.1155/2014/709801.

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To reduce the incidence of postoperative pharyngolaryngeal adverse events, laryngeal mask airway (LMA) manufacturers recommend maximum cuff pressures not exceeding 60 cmH2O. We performed a prospective randomised study, comparing efficacy and adverse events among patients undergoing laparoscopic surgical procedures who were allocated randomly into low (limiting 25 cmH2O, L group) and high (at 60 cmH2O, H group) LMA cuff pressure groups with LMA Supreme. Postoperative pharyngolaryngeal adverse events were evaluated at discharge from postanaesthetic care unit (PACU) (postoperative day 1, POD 1) and 24 hours after discharge from PACU (postoperative day 2, POD 2). All patients were well tolerated with LMA without ventilation failure. Before pneumoperitoneum, cuff volume and pressure and oropharyngeal leak pressure (OLP) showed significant differences. Postoperative sore throat at POD 2 (3 versus 12 patients) and postoperative dysphagia at POD 1 and POD 2 (0 versus 4 patients at POD 1; 0 versus 4 patients at POD 2) were significantly lower in L group, compared with H group. In conclusion, LMA with cuff pressure limiting 25 cmH2O allowed both efficacy of airway management and lower incidence of postoperative adverse events in laparoscopic surgical procedures. This clinical trial is registered withKCT0000334.
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Keller, Niklas, Götz Bosse, Belinda Memmert, Sascha Treskatsch, and Claudia Spies. "Improving quality of care in less than 1 min: a prospective intervention study on postoperative handovers to the ICU/PACU." BMJ Open Quality 9, no. 2 (June 2020): e000668. http://dx.doi.org/10.1136/bmjoq-2019-000668.

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PurposeStandardisation of the postoperative handover process via checklists, trainings or procedural changes has shown to be effective in reducing information loss. The clinical friction of implementing these measures has received little attention. We developed and evaluated a visual aid (VA) and >1 min in situ training intervention to improve the quality of postoperative handovers to the intensive care unit (ICU) and postoperative care unit.Materials and methodsThe VA was constructed and implemented via a brief (<1 min) training of anaesthesiologic staff during the operation. Ease of implementation was measured by amount of information transferred, handover duration and handover structure. 50 handovers were audio recorded before intervention and 50 after intervention. External validity was evaluated by blinded assessment of the recordings by experienced anaesthesiologists (n=10) on 10-point scales.ResultsThe brief intervention resulted in increased information transfer (9.0–14.8 items, t(98)=7.44, p<0.0001, Cohen’s d=1.59) and increased handover duration (81.3–192.8 s, t(98)=6.642, p=0.013, Cohen’s d=1.33) with no loss in structure (1.60–1.56, t(98)=0.173, p=0.43). Blinded assessment on 10-point scales by experienced anaesthesiologists showed improved overall handover quality from 7.1 to 7.8 (t(98)=1.89, p=0.031, Cohen’s d=0.21) and improved completeness of information (t(98)=2.42, p=0.009, Cohen’s d=0.28) from 7.3 to 8.3.ConclusionsAn intervention consisting of a simple VA and <1 min instructions significantly increased overall quality and amount of information transferred during ICU/postanaesthetic care unit handovers.
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Randmaa, Maria, Maria Engström, Christine Leo Swenne, and Gunilla Mårtensson. "The postoperative handover: a focus group interview study with nurse anaesthetists, anaesthesiologists and PACU nurses." BMJ Open 7, no. 8 (August 2017): e015038. http://dx.doi.org/10.1136/bmjopen-2016-015038.

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ObjectivesTo investigate different professionals’ (nurse anaesthetists’, anaesthesiologists’, and postanaesthesia care unit nurses’) descriptions of and reflections on the postoperative handover.DesignA focus group interview study with a descriptive design using qualitative content analysis of transcripts.SettingOne anaesthetic clinic at two hospitals in Sweden.ParticipantsSix focus groups with 23 healthcare professionals involved in postoperative handovers. Each group was homogeneous regarding participant profession, resulting in two groups per profession: nurse anaesthetists (n=8), anaesthesiologists (n=7) and postanaesthesia care unit nurses (n=8).ResultsPatterns and five categories emerged: (1) having different temporal foci during handover, (2) insecurity when information is transferred from one team to another, (3) striving to ensure quality of the handover, (4) weighing the advantages and disadvantages of the bedside handover and (5) having different perspectives on the transfer of responsibility. The professionals’ perceptions of the postoperative handover differed with regard to temporal foci and transfer of responsibility. All professional groups were insecure about having all information needed to ensure the quality of care. They strived to ensure quality of the handover by: focusing on matters that deviated from the normal course of events, aiding memory through structure and written information and cooperating within and between teams. They reported that the bedside handover enhances their control of the patient but also that it could threaten the patient's privacy and that frequent interruptions could be disturbing.ConclusionsThe present findings revealed variations in different professionals’ views on the postoperative handover. Healthcare interventions are needed to minimise the gap between professionals’ perceptions and practices and to achieve a shared understanding of postoperative handover. Furthermore, to ensure high-quality and safe care, stakeholders/decision makers need to pay attention to the environment and infrastructure in postanaesthesia care.
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Stavrou, George, Stavros Panidis, John Tsouskas, Georgia Tsaousi, and Katerina Kotzampassi. "An Audit of Operating Room Time Utilization in a Teaching Hospital: Is There a Place for Improvement?" ISRN Surgery 2014 (March 13, 2014): 1–6. http://dx.doi.org/10.1155/2014/431740.

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Aim. To perform a thorough and step-by-step assessment of operating room (OR) time utilization, with a view to assess the efficacy of our practice and to identify areas of further improvement. Materials and Methods. We retrospectively analyzed the most ordinary general surgery procedures, in terms of five intervals of OR time utilization: anaesthesia induction, surgery preparation, duration of operation, recovery from anaesthesia, and transfer to postanaesthesia care unit (PACU) or intensive care unit (ICU). According to their surgical impact, the procedures were defined as minor, moderate, and major. Results. A total of 548 operations were analyzed. The mean (SD) time in minutes for anaesthesia induction was 19 (9), for surgery preparation 13 (8), for surgery 115 (64), for recovery from anaesthesia 12 (8), and for transfer to PACU/ICU 12 (9). The time spent in each step presented an ascending escalation pattern proportional to the surgical impact P=0.000, which was less pronounced in the transfer to PACU/ICU P=0.006. Conclusions. Albeit, our study was conducted in a teaching hospital, the recorded time estimates ranged within acceptable limits. Efficient OR time usage and outliers elimination could be accomplished by a better organized transfer personnel service, greater availability of anaesthesia providers, and interdisciplinary collaboration.
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Wu, Huanghui, Fei Yang, Ran Zhang, Haiyan Xue, Yongyong Yang, Ruizhe Liao, Min Li, et al. "Study protocol for a randomised controlled clinical trial comparing desflurane-based versus propofol-based anaesthesia on postanaesthesia respiratory depression in patients with obstructive sleep apnoea after major abdominal surgery." BMJ Open 11, no. 10 (October 2021): e051892. http://dx.doi.org/10.1136/bmjopen-2021-051892.

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IntroductionPatients with obstructive sleep apnoea (OSA) are more sensitive to postanaesthesia respiratory depression. Whether different anaesthetic regimens (intravenous-based or inhalational-based general anaesthesia) affect the postanaesthesia respiratory depression is controversial. Although desflurane has been reported that presents favourable rapid recovery profile in special patients including whom with OSA, the strong clinical evidence of the benefit on postanaesthesia respiratory depression is far from being revealed. This study aims to fill this knowledge gap by investigating the postanaesthesia respiratory depression in postanaesthesia care unit (PACU) in patients with OSA after major abdominal surgery, followed by desflurane-based anaesthesia compared with propofol-based anaesthesia.Methods and analysisEight hundred and fifty-four patients with OSA scheduled for elective major abdominal surgery will be randomly 1:1 assigned to desflurane-based (n=427) or propofol-based anaesthesia (n=427) using a computer-generated randomisation scheme with permuted block size maintained by a centralised randomisation centre. Patients will be assessed before and a consecutive 3 days after their surgery according to the standardised tasks. Demographic data as well as surgical and anaesthesia information will be collected for the duration of the procedure. Incidence of postanaesthesia respiratory depression in PACU as well as anaesthesia recovery, emergence delirium, postoperative nausea and vomiting, rescue analgesia, duration of PACU and hospital stay, and any other adverse events will be assessed at the given study time point. Investigators performing postoperative follow-up are not involved in both anaesthesia implementation and postoperative care.Ethics and disseminationThis study protocol has been approved by the ethics board at Xiang’an Hospital of Xiamen University (XAHLL2019003). The results of this study will be published in a peer-review journal and presented at national conferences as poster or oral presentations. Participants wishing to know the results of this study will be contacted directly on data publication.Trial registration numberChiCTR2000031087.
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Darvall, Jai, Britta Sylvia von Ungern-Sternberg, Sabine Braat, David Story, Andrew Davidson, Megan Allen, An Tran-Duy, Dana Middleton, and Kate Leslie. "Chewing gum to treat postoperative nausea and emesis in female patients (CHEWY): rationale and design for a multicentre randomised trial." BMJ Open 9, no. 6 (June 2019): e027505. http://dx.doi.org/10.1136/bmjopen-2018-027505.

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IntroductionPostoperative nausea, retching and vomiting (PONV) remains one of the most common side effects of general anaesthesia, contributing significantly to patient dissatisfaction, cost and complications. Chewing gum has potential as a novel, drug-free alternative treatment. We aim to conduct a large, definitive randomised controlled trial of the efficacy and safety of peppermint-flavoured chewing gum to treat PONV in the postanaesthesia care unit (PACU). If chewing gum is shown to be as effective as ondansetron, this trial has the potential to significantly improve outcomes for tens of millions of surgical patients around the world each year.Methods and analysisThis is a prospective, multicentre, randomised controlled non-inferiority trial. 272 female patients aged ≥12 years having volatile anaesthetic-based general anaesthesia for breast or laparoscopic surgery will be randomised. Patients experiencing nausea, retching or vomiting in PACU will be randomised to 15 min of chewing gum or 4 mg intravenous ondansetron. The primary outcome (complete response) is cessation of PONV within 2 hours of administration, with no recurrence nor rescue medication requirement for 2 hours after administration.Ethics and disseminationThe Chewy Trial has been approved by the Human Research Ethics Committees at all sites. Dissemination will be via international and national anaesthesia conferences, and publication in the peer-reviewed literature.Trial registration numberACTRN12618000429257; Pre-results.
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Olmos, Andrea V., Sasha Steen, Christy K. Boscardin, Joyce M. Chang, Genevieve Manahan, Anthony R. Little, Man-Cheung Lee, and Linda L. Liu. "Increasing the use of multimodal analgesia during adult surgery in a tertiary academic anaesthesia department." BMJ Open Quality 10, no. 3 (July 2021): e001320. http://dx.doi.org/10.1136/bmjoq-2020-001320.

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ObjectiveMultimodal analgesia pathways have been shown to reduce opioid use and side effects in surgical patients. A quality improvement initiative was implemented to increase the use of multimodal analgesia in adult patients presenting for general anaesthesia at an academic tertiary care centre. The aim of this study was to increase adoption of a perioperative multimodal analgesia protocol across a broad population of surgical patients. The use of multimodal analgesia was tracked as a process metric. Our primary outcome was opioid use normalised to oral morphine equivalents (OME) intraoperatively, in the postanaesthesia care unit (PACU), and 48 hours postoperatively. Pain scores and use of antiemetics were measured as balancing metrics.MethodsWe conducted a quality improvement study of a multimodal analgesia protocol implemented for adult (≥18 and≤70) non-transplant patients undergoing general anaesthesia (≥180 min). Components of multimodal analgesia were defined as (1) preoperative analgesic medication (acetaminophen, celecoxib, diclofenac, gabapentin), (2) regional anaesthesia (peripheral nerve block or catheter, epidural catheter or spinal) or (3) intraoperative analgesic medication (ketamine, ketorolac, lidocaine infusion, magnesium, acetaminophen, dexamethasone ≥8 mg, dexmedetomidine). We compared opioid use, pain scores and antiemetic use for patients 1 year before (baseline group—1 July 2018 to 30 June 2019) and 1 year after (implementation group—1 July 2019 to 30 June 2020) project implementation.ResultsUse of multimodal analgesia improved from 53.9% in the baseline group to 67.5% in the implementation group (p<0.001). There was no significant difference in intraoperative OME use before and after implementation (β0=44.0, β2=0.52, p=0.875). OME decreased after the project implementation in the PACU (β0=34.4, β2=−3.88, p<0.001) and 48 hours postoperatively (β0=184.9, β2=−22.59, p<0.001), while pain scores during those time points were similar.ConclusionA perioperative pragmatic multimodal analgesic intervention was associated with reduced OME use in the PACU and 48 hours postoperatively.
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Wang, Wei, Wan-You Yu, Jie Lv, Lian-Hua Chen, and Zhong Li. "Effect of creatine phosphate sodium on bispectral index and recovery quality during the general anaesthesia emergence period in elderly patients: A randomized, double-blind, placebo-controlled trial." Journal of International Medical Research 46, no. 3 (January 14, 2018): 1063–72. http://dx.doi.org/10.1177/0300060517744957.

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Objective To evaluate the effect of creatine phosphate sodium on bispectral index (BIS) and recovery quality during the general anaesthesia emergence period in elderly patients. Methods This randomized, double-blind, placebo-controlled study enrolled patients undergoing transabdominal cholecystectomy under general anaesthesia. Patients were randomly assigned to receive either creatine phosphate sodium (1.0 g/100 ml 0.9% saline; group P) or 100 ml 0.9% saline (group C) over 30 minutes during surgical incision. The BIS values were recorded at anaesthesia induction (T0), skin incision (T1), cutting the gallbladder (T2), suturing the peritoneum (T3), skin closure (T4), sputum suction (T5), extubation (T6) and 1 min (T7), 5 min (T8), 10 min (T9), and 15 min (T10) after extubation. The anaesthesia duration, operation time, waking time, extubation time, consciousness recovery time, time in the postanaesthesia care unit (PACU), and the Steward recovery scores at T7, T8, T9 and T10 were recorded. Results A total of 120 elderly patients were randomized equally to the two groups. Compared with group C, the BIS values were significantly higher in group P at T5, T6, T7 and T8; and the Steward recovery scores at T7 and T8 were significantly higher in group P. The waking time, extubation time, consciousness recovery time and time in the PACU were significantly shorter in group P compared with group C. Conclusion Creatine phosphate sodium administered during transabdominal cholecystectomy can improve BIS values and recovery following general anaesthesia in elderly patients.
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Huang, Congcong, Xiaoguang Zhang, Chaoxuan Dong, Chunwei Lian, Jun Li, and Lingzhi Yu. "Postoperative analgesic effects of the quadratus lumborum block III and transversalis fascia plane block in paediatric patients with developmental dysplasia of the hip undergoing open reduction surgeries: a double-blinded randomised controlled trial." BMJ Open 11, no. 2 (February 2021): e038992. http://dx.doi.org/10.1136/bmjopen-2020-038992.

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Objective To evaluate the analgesic effectiveness of two novel regional nerve blocks in paediatric patients with developmental dysplasia of the hip (DDH) after open reduction surgeries. Design Prospective, double-blinded, randomised controlled trial. Setting 2 tertiary teaching hospitals in China between August 2017 and July 2018. Participants 110 paediatric patients aged 2–10 years with DDH undergoing open reduction surgeries were recruited, 95 were randomised and 90 were included in the final analysis. Interventions Random assignment to quadratus lumborum block III (QLB III) group, transversalis fascia plane block (TFPB) group and the control (no region nerve block) group. Primary and secondary outcome measures The primary outcome was the Face, Legs, Activity, Cry and Consolability (FLACC) Scale Scores. Secondary outcomes included perioperative opioid consumption, the time until first press of nurse-controlled analgesia/patient-controlled analgesia (NCA/PCA) pump and the total counts number of pressing, length of postanaesthesia care unit (PACU) stay, length of hospital stay, parental satisfaction with pain management and adverse events. Results Mean FLACC Scores were significantly lower in QLB III group and TFPB group while in the PACU and for 48 hours postoperatively, compared with control group (p<0.0001, p<0.0001, respectively). No differences were found for FLACC Scores between QLB III group and TFPB group, neither at rest (p=0.0402) nor while posture changing (p=0.0306). TFPB prolonged the first-time request for NCA/PCA analgesia, and decreased the total number of pressing counts, compared with QLB III (22.5 (16.2 to 28.7) vs 11.7 (6.6 to 16.8), p<0.0001; 2.4 (1.3 to 3.6) vs 3.8 (2.8 to 4.8), p=0.0111, respectively). No patient experienced any adverse events. Conclusions We suggested that both ultrasound-guided QLB III and TFPB should be considered as an option for perioperative analgesia in children with DDH undergoing open reduction surgeries. TFPB was superior to the QLB III because it prolonged the first-time request for NCA/PCA analgesia and decreased the total counts number of pressing. Trial registration number NCT03189966/2017.
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Dissertations / Theses on the topic "Postanaesthetic care unit (PACU)"

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Prowse, Morag Ann. "The development of effective bioscience-based knowledge in the post-anaesthesia care unit (PACU)." Thesis, Cardiff University, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.440033.

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Wilton, Ashley Jordan, and Ashley Jordan Wilton. "Respiratory Management Education for the Post Anesthesia Care Unit Registered Nurse." Diss., The University of Arizona, 2017. http://hdl.handle.net/10150/624297.

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Background: Post anesthesia care unit (PACU) nurses provide patient care during the vulnerable postoperative period when patients are at greatest risk of experiencing respiratory management issues and postoperative pulmonary complications (PPCs). In rural facilities such as Canyon Vista Medical Center (CVMC) in Sierra Vista, Arizona, limited staff and resource shortages can lead to suboptimal patient care conditions in the PACU setting. To compound the issue, PACU nurses in rural facilities rely on facility training and have little guidance on important patient care issues such as post anesthesia respiratory management. Quality improvement initiatives aimed at resolving knowledge deficits in settings such as these can improve both quality and patient safety via a more competent and educated PACU nursing staff. Purpose: To address an educational need among the CVMC PACU nursing staff with the implementation of a post anesthesia respiratory management educational intervention. Methods: A quasi-experimental one group pretest-posttest design using a targeted intervention based upon the knowledge to action (KTA) framework. The PACU setting was used to conduct the intervention with the nurse participants (N = 9). Descriptive statistics and the Wilcoxon signed rank test were used to determine intervention efficacy. Intervention: One 75-minute educational intervention divided into three consecutive phases. Results: A significant improvement in the nurses’ knowledge (p < .05) and perception of understanding of PACU respiratory management following the intervention (p < .05).
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Nayar, Priya Susan. "PACU nurses & postoperative pain : A focused ethnography." Thesis, 2014. http://hdl.handle.net/2440/95136.

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BACKGROUND: The post-anaesthetic care unit (PACU) is the first place that patients are taken following their operation and it is here that the initial recovery from their anaesthetic and surgery happens. Accordingly a significant proportion of the PACU nurse’s time is involved with the assessment and management of pain in the postoperative patient. Despite the implementation of standardised tools such as pain rating scales and medication protocols, the assessment and management of postoperative pain varies markedly from one patient to another in the PACU. Taking this into consideration, the researcher sought to understand how PACU nurses interpret pain assessment and management of the postoperative patient. AIM: To understand the processes PACU nurses utilise when assessing pain and implementing subsequent pain management in patients following surgery. METHODOLOGY: The qualitative approach of focused ethnography was used to frame this study. Focused ethnography was considered to best portray the perspectives of PACU nurses, as a culture, regarding the assessment and management of postoperative pain. METHODS: Ten PACU nurses were recruited from the PACU of a government hospital. The experience of the participants ranged from 3 years to more than 20 years in PACU nursing. James Spradley’s ethnographic research cycle was used to frame the research process. The research design employed two methods of data collection: participant observation and individual interviews. Collected data was transcribed and thematic analysis conducted. FINDINGS: Five themes emerged reflecting the perspectives of PACU nurses on the assessment and management of postoperative pain. These themes are: With Surgery Comes Pain; The Picture Beyond The Wound; Knowing; The Individual Experience; and Bridging Surgical Care. There are many complexities involved in assessing and managing postoperative pain in the PACU. Underpinning the five themes, communication was seen to be an integral aspect of assessing and managing postoperative pain from the PACU nurse’s perspective. CONCLUSION: This study represents a population of nurses who identify strongly with working in a unique clinical environment. The findings give insight to the multi-dimensional process that PACU nurses employ to be able to provide proficient care of postoperative pain to their patients; and, this study illustrates that the PACU fosters a distinct sense of culture amongst its nurses when considering the assessment and management of pain in the postoperative patient. The significance of this research is that there is no set method of pain assessment and management the PACU that could be taught from a textbook. Postoperative pain assessment and management is a highly individualised process that continuously changes with variables that are introduced by both the PACU nurse and the patient. Further research is required to develop knowledge about this particular environment.
Thesis (M.Nurs.Sc.) -- University of Adelaide, School of Nursing, 2014
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Ho, Xing-Hua, and 何幸樺. "Exploring the quality of (medical) care of which ovetime stay factor at (Post Anesthesia Care Unit，PACU) in one medical center." Thesis, 2018. http://ndltd.ncl.edu.tw/handle/69bm7s.

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碩士
中山醫學大學
醫療產業科技管理學系碩士班
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The main responsibilities of a nurse in post-anesthesia care unit (PACU) are to assist patients to regain consciousness safely and to prevent post-operation and anesthesia complications. Therefore, it is important that nurses are capable of critical care assessment. However, the critical care assessment and record taking abilities of PACU nurses are often inconsistent and incomplete. These deficiencies result in the delay of patients’ return to the PACU or delay in subsequent surgery as a result of a lack of identification of a patient’s special conditions, thereby affecting the surgical outcome. This study implemented four programs to resolve such issues: an advance critical care course, a revised checklist, case report analysis, and an audited nursing record. These programs improved post-operation nursing care from 70% to 80%. The accuracy and completeness ratings also increased from 80% and 78%, respectively, to 90%. The results of these programs improved the critical care assessment abilities and post-operative quality of care of PACU nurses and post-operative quality of care.
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Books on the topic "Postanaesthetic care unit (PACU)"

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Şen, Ahmet. Advances in PACU (Post Anesthesia Care Unit). Nova Science Publishers, Incorporated, 2022.

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Şen, Ahmet. Advances in PACU (Post Anesthesia Care Unit). Nova Science Publishers, Incorporated, 2022.

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Şen, Ahmet, ed. Advances in PACU (Post Anesthesia Care Unit). Nova Science Publishers, 2022. http://dx.doi.org/10.52305/ewza6759.

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Van Drunen, Lindsey, and Sanjay Dwarakanath. Postanesthesia Care on the Day of Surgery. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190885885.003.0007.

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This chapter presents key aspects to help those early in their anesthesia career to provide safe and efficient care to patients. It includes tips for safe transport of patients after surgery, effective hand-off reporting to the next level of care, and criteria to assess readiness of a patient to be discharged from the postanesthesia care unit (PACU). It also discusses common PACU complications such as pain and postoperative nausea and vomiting and approaches to treating them. Finally, it discusses PACU discharge instructions for patients after ambulatory surgery, with special attention paid for elderly patients or those with obstructive sleep apnea.
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Print, Better. PACU Nurse Coloring Book: For Adults Relaxation, Stress Relief, Concentration and Motivational, Funny Word Coloring Book for Post-Anesthesia Care Unit Nurses Gift Idea. Independently Published, 2020.

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Eastwood, Charles B., and Paul J. Samuels. Emergence Agitation. Oxford University Press, 2013. http://dx.doi.org/10.1093/med/9780199764495.003.0068.

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Emergence delirium is a common and challenging post-anesthetic complication in children characterized by a brief period of inconsolability, disorientation, and combativeness. Emergence delirium threatens patient safety due to potential self-injurious behavior or by untimely removal of intravenous lines, urinary catheters, and surgical drains. The economic impact of emergence delirium is a consequence of delayed post-anesthesia care unit (PACU) discharge and the need for additional medication administration and increased PACU staffing. In addition, despite the short duration of emergence delirium, its dramatic and frightening presentation can diminish parental satisfaction. Although no consistently effective treatment for emergence delirium has been described, familiarity with this clinical entity and approaches to its management and prevention are important to those who provide pediatric anesthesia care. This chapter will focus on our present understanding of emergence delirium in children.
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Wu, Junzheng, and C. Dean Kurth. Stridor After Extubation. Oxford University Press, 2013. http://dx.doi.org/10.1093/med/9780199764495.003.0069.

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Infants and young children who were intubated and mechanically ventilated occasionally present with stridor in the post-anesthesia care unit (PACU) after extubation. In severe cases, respiratory distress and oxygen desaturation accompany the stridor. Prophylactic measures and prompt management help to prevent post-extubation stridor and ameliorate the signs and symptoms should it occur.
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Book chapters on the topic "Postanaesthetic care unit (PACU)"

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Schalk, H. V. "Patient-Assessment in the Postanaesthesia Care Unit (PACU)." In Anesthesia, Pain, Intensive Care and Emergency Medicine — A.P.I.C.E., 327–30. Milano: Springer Milan, 2000. http://dx.doi.org/10.1007/978-88-470-2286-7_37.

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Cravero, Joseph P. "Postanesthesia Care Unit (PACU)." In Pediatric Anesthesiology Review, 715–35. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-60656-5_50.

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Cravero, Joseph P. "Postanesthesia Care Unit (PACU)." In Pediatric Anesthesiology Review, 693–713. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-48448-8_49.

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Holzman, Robert S., Thomas J. Mancuso, Navil F. Sethna, and James A. DiNardo. "Post Anesthesia Care Unit (PACU)." In Pediatric Anesthesiology Review, 563–81. New York, NY: Springer New York, 2010. http://dx.doi.org/10.1007/978-1-4419-1617-4_38.

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Custers, H. J., and M. J. L. Bucx. "Post Anesthesia Care Unit (PACU)." In Leerboek anesthesiologie, 595–605. Houten: Bohn Stafleu van Loghum, 2018. http://dx.doi.org/10.1007/978-90-368-2113-1_45.

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Bucx, M. J. L. "Post anesthesia care unit (PACU)." In Anesthesiologie, 473–82. Houten: Bohn Stafleu van Loghum, 2007. http://dx.doi.org/10.1007/978-90-313-6396-4_44.

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Bucx, M. J. L., and H. Custers. "Post Anesthesia Care Unit (PACU)." In Leerboek anesthesiologie, 541–50. Houten: Bohn Stafleu van Loghum, 2013. http://dx.doi.org/10.1007/978-90-313-9863-8_44.

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Nava, R. Dean, Tarun Bhalla, and Jesse M. Ehrenfeld. "Postoperative Anesthesia Care Unit (PACU) and Common Postoperative Problems." In Anesthesia Student Survival Guide, 465–79. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-11083-7_28.

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Nava, R. Dean, and Tarun Bhalla. "Postoperative Anesthesia Care Unit (PACU) and Common Postoperative Problems." In Anesthesia Student Survival Guide, 429–42. New York, NY: Springer New York, 2010. http://dx.doi.org/10.1007/978-0-387-09709-1_27.

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Hattenhauer, Luke R. "The post-anesthesia care unit (PACU) environment and the neurosurgical patient." In Handbook of Neurosurgery, Neurology, and Spinal Medicine for Nurses and Advanced Practice Health Professionals, 193–98. Abingdon, Oxon ; New York, NY : Routledge, 2018.: Routledge, 2017. http://dx.doi.org/10.4324/9781315382760-29.

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Conference papers on the topic "Postanaesthetic care unit (PACU)"

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Ojo, I. "103 Introduction of assistant theatre practitioners (ATPs) to post-anaesthetic care unit (PACU)." In Great Ormond Street Hospital Conference 2018: Continuous Care. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2018. http://dx.doi.org/10.1136/goshabs.103.

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Reports on the topic "Postanaesthetic care unit (PACU)"

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He, Miao, Zhaoqiong Zhu, Min Jiang, Xingxing Liu, Rui Wu, and Junjie Zhou. Risk factors for postanesthetic emergence delirium in adults: A systematic review and meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, January 2022. http://dx.doi.org/10.37766/inplasy2022.1.0021.

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Review question / Objective: Patientor population: patients with emergence delirium; Exposure: anaesthesia and surgery; Control: patients with no emergence delirium; Outcome: risk factors; Study design: meta-analysis. Eligibility criteria: To ensure the quality of this meta-analysis, inclusion criteria was decided before we carried out the search. These criteria were: (a) Original researches that carried out in observational studies. (b)Adult patients who were extubated and recovered at PACU, operation room, or intensive care unit (ICU) after surgeries and anesthesia (including general and neuraxial anesthesia, peripheral nerve blocks and sedation). (c) Risk factors for delirium must be assessed with odds ratio (OR) with 95% confidence interval (CI). Researches must present the results of multivariate regression to be considered eligible for inclusion, since multivariate analysis results shall be used to identify variables eligible for meta-analysis. (d) Full-text available literatures.
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You might also be interested in the extended bibliographies on the topic 'Postanaesthetic care unit (PACU)' for particular source types:
Journal articles
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