Abstract
The Post Anesthesia Care Unit (PACU) or the recovery unit in an Ambulatory Surgery Center (ASC) is a very important part of the ASC and the patient’s surgical experience. A well run PACU ensures efficiency, safety, cost effectiveness and patient satisfaction. A number of factors play a role in PACU efficiency including: PACU design, number of patient slots, staffing ratios, patient acuity and social factors. It is imperative for the ASC personnel to be familiar with phases of recovery and steps that can be taken to expedite this process. Patients should be discharged as soon as they meet discharge criteria. Common issues that cause delays in the PACU should be anticipated ahead of time and managed preemptively.
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References
Haert D, Kneeland M, Ho E. Chapter 14 Postanesthesia Care Units. 2012 Operating Room Design Manual, Schaumburg, IL 2012. asahq.org Jan 2017.
Steward DJ, Volgyesi G. Stabilometry: a new tool for the measurement of recovery following general anaesthesia for out-patients. Can Anaesth Soc J. 1978;25(1):4–6.
American Society of PeriAnesthesia Nurses, http://www.aspan.org/Clinical-Practice/FAQs.
Chung F, Chan VW, Ong D. A post-anesthetic discharge scoring system for home readiness after ambulatory surgery. J Clin Anesth. 1995;7(6):500–6.
Apfelbaum JL, Silverstein JH, Chung FF, et al. Practice guidelines for postanesthetic care: an updated report by the American Society of Anesthesiologists Task Force on Postanesthetic Care. Anesthesiology. 2013;118(2):291–307.
Joshi GP. Rapid Recovery from Ambulatory Surgery: The New Paradigm in Ambulatory Anesthesia Girish P. www.iars.org, IARS 2013 REVIEW COURSE LECTURES 11–16.
White PF, Song D. A new scoring system for determining fast-track eligibility after ambulatory anesthesia. Anesth Analg. 1999;88(2S):34S.
Sarin P, Philip BK, Mitani A, et al. Specialized ambulatory anesthesia teams contribute to decreased ambulatory surgery recovery room length of stay. Ochsner J. 2012;12(2):94–100.
Gabriel RA, Waterman RS, Kim J, et al. A predictive model for extended postanesthesia care unit length of stay in outpatient surgeries. Anesth Analg. 2017;124(5):1529–36.
Lewis R. Building capacity and enhancing engagement – innovative approach at The Scarborough Hospital. GSTF J Psychol. 2014;1(2) https://doi.org/10.5176/2251-2349_HRMPD14.18.
Practice Guidelines for Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration: Application to Healthy Patients Undergoing Elective Procedures. Anesthesiology. 2017;126:376–93.
De Oliverira GS Jr, Castro-Alves LJ, Chang R, et al. Systemic metoclopramide to prevent postoperative nausea and vomiting: a meta-analysis without Fujii’s studies. Br J Anaesth. 2012;109(5):688–97.
Naghibi K, Kashefi P, Azamoush H, et al. Prevention of postoperative nausea and vomiting with a subhypnotic dose of Propofol in patients undergoing lower abdominal surgery: a prospective, randomized, double-blind study. Adv Biomed Res. 2015;4:35.
Apfel CC, Philip BK, Cakmakkaya OS, et al. Who is at risk for postdischarge nausea and vomiting after ambulatory surgery? Anesthesiology. 2012;117:475–86.
Salzwedel C, Bartz HJ, Kühnelt I, Appel D, Haupt O, Maisch S, Schmidt GN. The effect of a checklist on the quality of post-anaesthesia patient handover: a randomized controlled trial. Int J Qual Health Care. 2013;25:176–81.
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Ahmad, F., Rajan, N. (2020). PACU Management: Unique Concepts to ASCs. In: Rajan, N. (eds) Manual of Practice Management for Ambulatory Surgery Centers. Springer, Cham. https://doi.org/10.1007/978-3-030-19171-9_15
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DOI: https://doi.org/10.1007/978-3-030-19171-9_15
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