Professional Documents
Culture Documents
Home
POST ANESHTESIA CARE
Design
Equipment
Staffing
POSTANESTHESIA CARE
UNIT
Design
Located near the operating rooms
Proximity to radiographic, laboratory, and
other intensive care facilities on the same
floor
Each patient space should be well lighted
Multiple electrical outlets and at least one
outlet for oxygen, air, and suction
POSTANESTHESIA CARE
UNIT
Equipment
1.Oxygen cannulas
2.Masks
3.Oral and nasal airways
4.Laryngoscopes , ndotracheal tubes, laryngeal mask
airways, and self-inflating bags for ventilation
5.Defibrillation device
6.Tracheostomy, chest tube, and vascular cutdown
trays
POSTANESTHESIA CARE
UNIT
Respiratory therapy equipment
Postoperative factors
1. Postoperative pain
2. Hypotension
CARE OF THE PATIENT
Shivering & Hypothermia
Intraoperative hypothermia
Cold ambient temperature in the operating room
Prolonged exposure of a large wound
Use of large amounts of unwarmed intravenous
fluids
High flows of unhumidified gases
Effects of anesthetic agents
Immediate postpartum period
Discharge Criteria
Before discharge, patients should have been
observed for respiratory depression for at least
2030 min after the last dose of parenteral
narcotic. Other minimum discharge criteria for
patients recovering from general anesthesia
usually include the following:
(1) Easy arousal (from external stimulation)
(2) Full orientation
(3) The ability to maintain and protect the airway
(4) Stable vital signs for at least 1530 min
(5) The ability to call for help if necessary
(6) No obvious surgical complications (such as
active bleeding).
Discharge Criteria
Postanesthetic Aldrete Recovery Score
Oxygenation
SpO2 > 92% on room air
2
SpO2 > 90% on oxygen
1
SpO2 < 90% on oxygen
0
Respiration
Breathes deeply and coughs freely
2
Dyspneic, shallow or limited breathing
1
Apnea 0
Discharge Criteria
Postanesthetic Aldrete Recovery Score
Circulation
Blood pressure 20 mm Hg of normal 2
Blood pressure 2050 mm Hg of normal 1
Blood pressure more than 50 mm Hg of normal 0
Consciousness
Fully awake 2
Arousable on calling 1
Not responsive 0
Activity
Moves all extremities 2
Moves two extremities 1
No movement 0
Discharge Criteria
Postanesthesia Discharge Scoring System (PADS)
Vital signs
Within 20% of preoperative baseline 2
Within 2040% of preoperative baseline 1
> 40% of preoperative baseline 0
Activity level
Steady gait, no dizziness, at preoperative level 2
Requires assistance 1
Unable to ambulate 0
Discharge Criteria
Postanesthesia Discharge Scoring System (PADS)
Surgical bleeding
Minimal: no dressing change required 2
Moderate: up to two dressing changes 1
Severe: three or more dressing changes 0
RECOMMENDATIONS
1) Patients should not leave the operating room
unless they have a stable and patent airway,
have adequate ventilation and oxygenation,
and are hemodynamically stable.