Document Detail


A comparison of an evidence based regime with the standard protocol for monitoring postoperative observation: a randomised controlled trial.
MedLine Citation:
PMID:  16496813     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Monitoring patients' vital signs is an important component of postoperative observations. OBJECTIVE: To compare the safety and efficacy of the current standard practice for monitoring postoperative observations in one hospital with an experimental protocol. METHOD: Patients who were classified as American Society of Anaesthesiologists (ASA) Class 1 or 2 and who met the inclusion criteria were randomised to one of two groups. Following their return to the ward from the recovery unit, these patients were monitored according to either the standard practice (n=96) or the experimental protocol (n=93). Data collected included patient demographics, medical and surgical history, the postoperative observations and the number and type of untoward events. RESULTS: The findings indicated that there was no statistically significant difference in the incidence of abnormal vital signs between the groups in the first four hours as well as within the 24 hours following return to the ward from the recovery unit. Additionally, none of the patients required either transfer to the intensive care unit /high dependency unit or management by the intensive care team. Patients in both groups were successfully discharged within 24 hours following surgery. CONCLUSION: This study provides evidence to inform clinicians of a safe and cost effective regime in the management of the patient in the postoperative period following discharge from the recovery to the ward. Clinicians, however, must utilise clinical judgement to determine which patients require close monitoring during the postoperative period.
Authors:
Ritin Fernandez; Rhonda Griffiths
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Publication Detail:
Type:  Comparative Study; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  The Australian journal of advanced nursing : a quarterly publication of the Royal Australian Nursing Federation     Volume:  23     ISSN:  0813-0531     ISO Abbreviation:  Aust J Adv Nurs     Publication Date:    2005 Sep-Nov
Date Detail:
Created Date:  2006-02-24     Completed Date:  2006-04-04     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8409358     Medline TA:  Aust J Adv Nurs     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  15-21     Citation Subset:  N    
Affiliation:
South Western Sydney Centre for Applied Nursing Research, School of Nursing, Family and Community Health University of Western Sydney, New South Wales, Australia. ritin.fernandez@swsahs.nsw.gov.au
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Blood Pressure
Body Temperature
Clinical Protocols*
Evidence-Based Medicine / methods*
Female
Heart Rate
Humans
Male
Middle Aged
New South Wales
Outcome and Process Assessment (Health Care)
Postoperative Care / nursing,  standards*
Postoperative Complications / diagnosis*,  nursing
Pulse
Respiration

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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