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Post-anesthesia care unit


Tìm thấy 20+ kết quả cho từ khóa "Post-anesthesia care unit"

Integrated pulmonary index can predict respiratory compromise in high‐risk patients in the post‐anesthesia care unit: A prospective, observational study

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patients in the postanesthesia care unit: a prospective, observational study. Background: Respiratory compromise (RC) including hypoxia and hypoventilation is likely to be missed in the postoperative period. Monitoring was started on admission to the PACU after elective surgery under general anesthesia. We investigated the onset of RC defined as respiratory events with prolonged stay in the PACU or transfer to the intensive care units.

Lack of association between intraoperative handoff of care and postoperative complications: A retrospective observational study

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Differences in care team model, care team composition, or the conduct of handoffs may also influence their impact on clinical outcomes. Intraoperative handoffs may influence clinical outcomes by compromis- ing the integrity of transitions to the post-anesthesia care unit (PACU) or intensive care unit through progressive knowledge loss.

Comparison of the effects of sugammadex and neostigmine on hospital stay in robotassisted laparoscopic prostatectomy: A retrospective study

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Table 3 Effect of sugammadex on length of stay in the post-anesthesia care unit, post-operative hospital stay and unplanned readmission, as compared to neostigmine, in patients who underwent robot-assisted laparoscopic prostatectomy, based on a propensity score-matched cohort. Length of stay in the post-anesthesia care unit (min).

A case of hyperventilation leading to apnea and desaturation in PACU

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Respiratory complications are not uncommon in the im- mediate post-operative period. We recently faced such a case where the patient, after an uneventful general anesthesia and early recovery, developed severe hyperventilation leading to apnea and desaturation. Here we present this case as well as discuss the possible causes and an approach to such cases if it occurs in the post-anesthesia care unit (PACU).. under general anesthesia.

Feasibility of laryngeal mask anesthesia combined with nerve block in adult patients undergoing internal fixation of rib fractures: A prospective observational study

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Since SpO 2 was maintained above 96% during spontaneous respiration at 40% oxygen concentration, each patient was extubated with the confirmation of consciousness, blinking, good swallowing function, and fist clenching in the post-anesthesia care unit. In our study, the analgesic effect of the nerve block was sufficient and maintained for approximately six hours after the operation.

Short term cognitive function after sevoflurane anesthesia in patients suspect to obstructive sleep apnea syndrome: An observational study

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Incidence of complications in the post-anesthesia care unit and associated healthcare utilization in patients undergoing non-cardiac surgery requiring. https://doi.org/10.1016/j.jclinane

Intravesical dexmedetomidine instillation reduces postoperative catheter-related bladder discomfort in male patients under general anesthesia: A randomized controlled study

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Reportedly, 27–55% of the pa- tients experience moderate or severe catheter-related bladder discomfort symptoms in the post-anesthesia care unit (PACU) [3, 5]. More- over, dexmedetomidine might reduce bladder contractil- ity via α-2 receptor agonism, M3 muscarinic receptor antagonism [15–17], and the incidence and severity of catheter-related bladder discomfort after general anesthesia .

Maintaining intraoperative normothermia reduces blood loss in patients undergoing major operations: A pilot randomized controlled clinical trial

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The primary endpoint was intraoperative blood loss, and secondary endpoints were surgical-site infection, cardiovascular events, and length of stay in the post-anesthesia care unit, intensive care unit, and hospital.. Results: Sixty-two patients were enrolled. The volume of blood loss was more in the PW group ml) than in the AW group ml. perioperative hemoglobin value declined more in the PW group g/L) than in the AW group g/L.

Effect of topical ropivacaine on the response to endotracheal tube during emergence from general anesthesia: A prospective randomized double-blind controlled study

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When the re- spiratory rate was greater than 10 breaths/min and tidal volume was more than 200 mL, the patients were trans- ferred to the post-anesthesia care unit (PACU) for wakeful- ness observation and extubation. The endotracheal tube was pulled out when the following parameters were met:. Pa- tients with stable vital signs and Steward score ≥ 6 points were transferred to the general ward..

Predictors of catheter-related bladder discomfort after gynaecological surgery

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Therefore, we conducted this study to identify the incidence and predictors of postoperative CRBD after gynaecological surgery in the post-anesthesia care unit (PACU).. This prospective observational study was approved by the China Ethics Committee of Registering Clinical Tri- als, and registered in the Chinese Clinical Trial Registry (ChiCTR1800016390).

Effects of nitroglycerin versus labetalol on peripheral perfusion during deliberate hypotension for sinus endoscopic surgery: A randomized, controlled, double-blinded trial

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Twenty minutes before the end of the procedure, the infused drugs were gradually weaned off. every 5 min after initiation of study drug infusion until the end of the procedure. and every 10 min in the post-anesthesia care unit for 60 min. During data ana- lysis, measurements were averaged every 15 min until the end of the operation.

Effects of propofol/remifentanil-based total intravenous anesthesia versus sevoflurane-based inhalational anesthesia on the release of VEGF-C and TGF-β and prognosis after breast cancer surgery: A prospective, randomized and controlled study

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Anesthesia was maintained with constant infusion of propofol at a rate of 3-6 mg/kg/h and remifentanil at a rate of 0.1–0.2μg/kg/min in the TIVA group or 1.5–2% sevoflurane in the SEV group to maintain BIS values of 40–60. kg, if necessary, which were given when the patients complained of pain in the post-anesthesia care unit and ward. VEGF-C, 3 pg/ml. TGF-β, 6 pg/ml..

Impact of dexmedetomidine supplemented analgesia on delirium in patients recovering from orthopedic surgery: A randomized controlled trial

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Postoperative analgesia was primarily provided by patient-controlled intravenous administration of the trial drug (either dexmedetomidine 200 μg or 0.9%. otherwise, they remained in the post-anesthesia care unit for at least 30 min, and were then sent to a surgical ward.

Penehyclidine mitigates postoperative nausea and vomiting and intraoperative oculocardiac reflex in patients undergoing strabismus surgery: A prospective, randomized, double-blind comparison

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The time to tracheal extubation and the length of stay in the post-anesthesia care unit were found comparable between penehyclidine and NS group.. This study identified penehyclidine, a widely used pre- operative anticholinergic agent, as an effective protector against postoperative nausea and vomiting and intraop- erative oculocardiac reflex in patients undergoing stra- bismus surgery.. PONV: Postoperative nausea and vomiting. OCR: Oculocardiac reflex;. NS: Normal saline.

Unveiling what is absent within: Illustrating anesthetic considerations in a patient with hydranencephaly – a case report

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He was monitored for several more minutes before being transported to the post-anesthesia care unit (PACU). No sei- zures were witnessed postoperatively, and he was dis- charged home.. MRI imaging revealed intact brainstem and a nearly absent cerebral cortex replaced by a large membranous sac of CSF, consistent with hydranencephaly (Fig. The patient underwent palliative ventriculoperitoneal shunt placement at 8 months of age at an outside hos- pital (Fig.

The transverse diameter of right common femoral vein by ultrasound in the supine position for predicting post-spinal hypotension during cesarean delivery

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The ultrasound measurements were performed with the parturient on the transfer bed in the post-anesthesia care unit 15 min before anesthesia.. 5–12 MHz) was used for the measurement of the transverse diameter and peak velocity of the RCFV (Fig. 5–1 MHz) was used to measure the anteroposterior diameter and peak velocity of the IVC (Fig.

Effects of sevoflurane anesthesia and abdominal surgery on the systemic metabolome: A prospective observational study

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All patients were visited in the post-anesthesia care unit on postoperative day 1 and day 3 to assess intraoperative recall.. To investigate dose-dependent effect of sevoflurane on systemic metabolome, the patients were divided into high ET sevo and low ET sevo groups as following de- scribed. The patients in the high ET sevo group might receive more sevoflurane than that of the patients in the low ET sevo group during the surgery while their BIS values were similar.

Improved analgesia and reduced post-operative nausea and vomiting after implementation of an enhanced recovery after surgery (ERAS) pathway for total mastectomy

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The primary outcome of total perioperative opioid con- sumption was defined as the sum of the opioids adminis- tered to the patient in the preoperative area, operating room, post-anesthesia care unit (PACU), and on the hos- pital floor prior to discharge from the hospital. This equation is based on our institution’s opioid equivalence table which was developed from primary lit- erature and is included in the Additional file 1..

Dexmedetomidine versus midazolam on cough and recovery quality after partial and total laryngectomy – a randomized controlled trial

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The visual analog scale and the Ramsay sedation scale were recorded at the points of wakefulness and departure from the post-anesthesia care unit (PACU). Results: The prevalence of no coughing was significantly higher in group D than in group M at the points of wakefulness and departure. HR, SBP, and DBP were significantly lower in group D compared with group M, and SpO 2 was significantly higher in group D than in group M at the moment of laryngectomy.

Simultaneous comparison of depth of sedation performance between SedLine and BIS during general anesthesia using custom passive interface hardware: Study protocol for a prospective, non-blinded, non-randomized trial

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The anesthesia provider will not be limited in responses for “Other.”. At the end of the surgical procedure, timepoints indi- cating incision closure, emergence from anesthesia, tra- cheal extubation, and return of consciousness will be recorded. During emergence, MOAAS will be measured every minute until the patient achieves a score greater than or equal to 4. Sensors will be removed prior to pa- tient transport to the post-anesthesia care unit (PACU)..