Wiesenack, C and Wiesner, G and Hobbhahn, J (1997) Discharge criteria after ambulatory surgery in general anaesthesia. ANASTHESIOLOGIE & INTENSIVMEDIZIN, 38 (2). pp. 61-68. ISSN 0170-5334,
Full text not available from this repository.Abstract
There are at present only a few papers on discharge criteria following ambulatory surgery in general anesthesia, This article therefore describes the stages of recovery after general anaesthesia and provides an overview of discharge criteria from PACU or the ambulatory recovery area and of postoperative instructions for the out-patients in the current literature, In the stage of immediate recovery consciousness, protective reflexes and motor activity return and the patient can be discharged from PACU if specific clinical criteria are satisfied, The return of co-ordination and physiological functions in the stage of intermediate recovery allows to discharge ambulatory patients home acompanied of a responsible adult (''home-ready''). A patient is considered completely recovered and ''street-fit'' after the return of all psychomotorical functions, The evaluation of patients recovery and readiness for discharge from PACU using score-systems can be considered a valuable alternative to the individual assessment by the anaesthesist that mould allow delegation of patient discharge to qualified nursing staff, The Aldrete-Score for adults and the Soliman-Score for children are simple and practical scoring systems to determine patient discharge from PACU, The ''Post-Anesthesia-Discharge-Scoring-System'' (PADSS) developed by Chung and the modified ''Postanesthetic-Recovery-Score'' (PAR) by Aldrete are scoring systems to evaluate home-readiness of ambulatory patients, The PAR seems especially too complex and time consuming which renders it of lesser practical value. To avoid post-operative complications after discharge, patients should receive written instructions in the pre-medication interview. Possible complications should be explained to the patient and the accompanying adult and written instructions for the next 24 hours should be handed to them before the patient is discharged.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | POSTANESTHESIA CARE UNIT; RECOVERY SCORE; ANESTHESIA; MANAGEMENT; HYPOXEMIA; CHILDREN; |
| Depositing User: | Dr. Gernot Deinzer |
| Last Modified: | 19 Oct 2022 08:32 |
| URI: | https://pred.uni-regensburg.de/id/eprint/51043 |
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