Pediatric post-anesthesia care unit discharge criteria

2017 ◽  
Vol 15 (8) ◽  
pp. 2033-2039
Author(s):  
Mary Ryals ◽  
Michelle Palokas
Keyword(s):  
Anesthesia Care ◽  
Post Anesthesia Care Unit ◽  
Unit Discharge ◽  
Discharge Criteria

scholarly journals Current Practice of Discharging Patients From Post Anesthesia Care Unit After Surgical Operations, 2018

2020 ◽  
Author(s):  
Yosef Belay Bizuneh ◽  
Yophtahe wodegerima berhe ◽  
Henos Enyew Ashagrie ◽  
Girmay Fitwi Lema ◽  
Demeke Yilkal Fentie
Keyword(s):  
Scoring Systems ◽  
Cross Sectional Study ◽  
Anesthesia Care ◽  
Post Anesthesia Care Unit ◽  
Cross Sectional ◽  
Anesthetic Care ◽  
Maximum Score ◽  
Care Outcomes ◽  
Audit Standard ◽  
Discharge Criteria

Abstract Background: Post-Anesthesia discharge criteria scoring systems have been used successfully to help discharge from the post anesthetic care unit for more than many years. They provide standardized documentation of a patient’s readiness for discharge. A formal checklist is highly recommended for the staff to decide discharge of patients either to the ward or not from post-anesthesia care unit. In our study area there is no any standardized discharging systems. So the aim of this study was to improve post-anesthesia care outcomes.Methods: Institutional based cross sectional study was conducted from January, 1- 15, 2018. All patients who were discharged from post anesthesia care unit to wards after operation were involved and a consecutive sampling method was done within the stud period. From the checklist form maximum score of subscales is two and minimal score is zero .The total scores should be greater than or equal to nine out of ten to transfer the patient from post anesthesia care unit to wards.Results: This study showed that only 73.3 % patients were meet the audit standard. From sub scales, patients awakens scored was 91.1%, however all the rest scales were scored less than the standard. Able to move four extremities was 73.3%,able to deep breath and cough freely was 80%, blood pressure ± 20 mmHg of pre-anesthetic level was 75.6% and able to maintain oxygen saturation > 92% on room air was 84.4%.Conclusion and recommendation: This finding was low compared with standard as well as with the other studies. Then the staffs who work in post anesthesia care unit should be given training and they must discharge patients based of the standard as well as r- auditing is important to achieve the standard.

Capnography Monitoring to Reduce Adverse Events in the Pediatric Post-Anesthesia Care Unit

PEDIATRICS ◽  
2016 ◽  
Vol 137 (Supplement 3) ◽  
pp. 189A-189A
Author(s):  
Melissa L. Langhan ◽  
Fangyong Li ◽  
Lance Lichtor
Keyword(s):  
Adverse Events ◽  
Anesthesia Care ◽  
Post Anesthesia Care Unit

scholarly journals Effects of pre-emptive pregabalin and multimodal anesthesia on postoperative opioid requirements in patients undergoing robot-assisted laparoscopic prostatectomy

BMC Urology ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
K. Sisa ◽  
S. Huoponen ◽  
O. Ettala ◽  
H. Antila ◽  
T. I. Saari ◽  
...  
Keyword(s):  
Postoperative Nausea And Vomiting ◽  
Multimodal Analgesia ◽  
Opioid Consumption ◽  
Anesthesia Induction ◽  
Anesthesia Care ◽  
Post Anesthesia Care Unit ◽  
Robot Assisted ◽  
Ctrl Group ◽  
Laparoscopic Prostatectomy ◽  
The Impact

Abstract Background Previous findings indicate that pre-emptive pregabalin as part of multimodal anesthesia reduces opioid requirements compared to conventional anesthesia in patients undergoing robot-assisted laparoscopic prostatectomy (RALP). However, recent studies show contradictory evidence suggesting that pregabalin does not reduce postoperative pain or opioid consumption after surgeries. We conducted a register-based analysis on RALP patients treated over a 5-year period to evaluate postoperative opioid consumption between two multimodal anesthesia protocols. Methods We retrospectively evaluated patients undergoing RALP between years 2015 and 2019. Patients with American Society of Anesthesiologists status 1–3, age between 30 and 80 years and treated with standard multimodal anesthesia were included in the study. Pregabalin (PG) group received 150 mg of oral pregabalin as premedication before anesthesia induction, while the control (CTRL) group was treated conventionally. Postoperative opioid requirements were calculated as intravenous morphine equivalent doses for both groups. The impact of pregabalin on postoperative nausea and vomiting (PONV), and length of stay (LOS) was evaluated. Results We included 245 patients in the PG group and 103 in the CTRL group. Median (IQR) opioid consumption over 24 postoperative hours was 15 (8–24) and 17 (8–25) mg in PG and CTRL groups (p = 0.44). We found no difference in postoperative opioid requirement between the two groups in post anesthesia care unit, or within 12 h postoperatively (p = 0.16; p = 0.09). The length of post anesthesia care unit stay was same in each group and there was no difference in PONV Similarly, median postoperative LOS was 31 h in both groups. Conclusion Patients undergoing RALP and receiving multimodal analgesia do not need significant amount of opioids postoperatively and can be discharged soon after the procedure. Pre-emptive administration of oral pregabalin does not reduce postoperative opioid consumption, PONV or LOS in these patients.

Analysis Of Post Operative Nausea And Vomiting In The Post Anesthesia Care Unit

2016 ◽  
Vol 31 (4) ◽  
pp. e59-e60
Author(s):  
Alison Partridge ◽  
Suzanne Hunnicutt ◽  
Carol Walker ◽  
Christina Crook ◽  
Shelley Stinson ◽  
...  
Keyword(s):  
Nausea And Vomiting ◽  
Anesthesia Care ◽  
Post Anesthesia Care Unit ◽  
Post Operative Nausea
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