postanesthesiaCareUnit08May

postanesthesiaCareUnit08May - ThePostanesthesiaCare Unit...

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The Postanesthesia Care  Unit Jessica Lovich-Sapola MD
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PACU Recovery from anesthesia can range from completely uncomplicated to life-threatening. Must be managed by skilled medical and nursing personnel. Anesthesiologist plays a key role in optimizing safe recovery from anesthesia.
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History of the PACU Methods of anesthesia have been available for more than 160 years, the PACU has only been common for the past 50 years. 1920’s and 30’s: several PACU’s opened in the US and abroad. It was not until after WW II that the number of PACU’s increased significantly. This was do to the shortage of nurses in the US. In 1947 a study was released which showed that over an 11 year period, nearly half of the deaths that occurred during the first 24 hours after surgery were preventable. 1949: having a PACU was considered a standard of care.
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PACU Staffing One nurse to one patient for the first 15 minutes of recovery. Then one nurse for every two patients. The anesthesiologist responsible for the surgical anesthetic remains responsible for managing the patient in the PACU.
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PACU Location Should be located close to the operating suite. Immediate access to x-ray, blood bank, blood gas and clinical labs. Should have 1.5 PACU beds per operating room used. An open ward is optimal for patient observation, with at least one isolation room. Central nursing station. Piped in oxygen, air, and vacuum for suction. Requires good ventilation, because the exposure to
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This note was uploaded on 12/16/2011 for the course BIOLOGY 101 taught by Professor Mr.wallace during the Fall '11 term at Montgomery College.

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postanesthesiaCareUnit08May - ThePostanesthesiaCare Unit...

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