| Complications occurring in the postanesthesia care unit: a survey. | |
| | |
MedLine Citation:
|
PMID: 1554116 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
To identify and quantitate complications occurring in the postanesthesia care unit (PACU), a prospective study evaluated 18,473 consecutive patients entering a PACU at a university teaching hospital. Using a standardized collection form, the incidence of intraoperative and PACU complications was determined. The combined PACU and intraoperative complication rate was 26.7%. Data showed a PACU complication rate of 23.7%, with an overall intraoperative complication rate of 5.1%. Nausea and vomiting (9.8%), the need for upper airway support (6.9%), and hypotension requiring treatment (2.7%) were the most frequently encountered PACU complications. Patients in whom PACU complications developed were analyzed by ASA physical status. Of all patients experiencing nausea and vomiting (n = 1571), the highest percentage were ASA physical status II patients (n = 831). Likewise, in the group of 1450 patients who demonstrated a need for upper airway support, 792 were ASA physical status II. In patients experiencing a major cardiovascular complication, for example, variables associated with a greater risk of developing any PACU complications were ASA physical status (status II), duration of anesthesia (2-4 h), anesthetic technique, emergency procedures, and certain types of surgical procedures (orthopedic or abdominal). For patients admitted with a temperature of less than 35 degrees C the duration of the PACU stay was 152 +/- 46 min compared with 116 +/- 65 min for patients with a temperature greater than or equal to 36 degrees C (P less than 0.01). In conclusion, events occurring during the PACU period continue to be a source of patient morbidity. |
| | |
Authors:
|
R Hines; P G Barash; G Watrous; T O'Connor |
Related Documents
:
|
22982966 - Time to recurrence of atrial fibrillation influences outcome following catheter ablation. 23143156 - Serial csf sampling over a period of 30 h via an indwelling spinal catheter in healthy... 20411386 - Preoperative predictors of significant symptomatic response after 1 year of gastric ele... 23349296 - Prevention of contrast-induced nephropathy with na/k citrate. 16647496 - Postoperative outcome of open donor nephrectomy under epidural analgesia: a descriptive... 10331506 - Chronic pure red cell aplasia caused by parvovirus b19 in aids: use of intravenous immu... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Anesthesia and analgesia Volume: 74 ISSN: 0003-2999 ISO Abbreviation: Anesth. Analg. Publication Date: 1992 Apr |
Date Detail:
|
Created Date: 1992-04-24 Completed Date: 1992-04-24 Revised Date: 2004-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 1310650 Medline TA: Anesth Analg Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 503-9 Citation Subset: AIM; IM |
Affiliation:
|
Department of Anesthesiology, Yale University School of Medicine, New Haven, CT 06510. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adolescent Adult Aged Aged, 80 and over Anesthesia / adverse effects* Anesthesia Recovery Period* Child Child, Preschool Female Humans Incidence Infant Infant, Newborn Intraoperative Complications / epidemiology Male Middle Aged Postoperative Complications / epidemiology* Prospective Studies |
| Comments/Corrections | |
Comment In:
|
Anesth Analg. 1992 Oct;75(4):640
[PMID:
1530187
]
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Enhancement of bupivacaine sensory blockade of rat sciatic nerve by combination with phenol.
Next Document: Efficacy and safety of tramadol versus morphine for moderate and severe postoperative pain with spec...