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About 546 results

ALLMedicine™ Postanesthesia Care Unit Center - Clinicaltrials.gov

Improved outcomes associated with a revised quality measure for continuing perioperativ...
https://doi.org/10.1001/jamasurg.2014.351
JAMA Surgery; Richman JS, Itani KM et. al.

Aug 21st, 2014 - The Surgical Care Improvement Project perioperative β-blocker (BB) (SCIP-BB) continuation measure was revised in 2012 to incorporate inpatient BB continuation after discharge from the postanesthesia care unit. To determine whether adherence to the original or revised SCIP-BB measure is associated with decreased adverse events. Retrospective cohort study using national Veterans Affairs patient-l...

Postoperative Bladder Filling After Outpatient Laparoscopic Hysterectomy and Time to Di...
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6483897
Obstetrics and Gynecology; Chao L, Mansuria S

Apr 10th, 2019 - To determine whether backfilling the bladder postoperatively will reduce time to discharge in patients undergoing outpatient laparoscopic hysterectomy. In a single-blind, randomized, controlled trial among women undergoing outpatient laparoscopic hysterectomy, patients were randomly assigned to a backfill-assisted void trial or a trial of spontaneous voiding. The primary outcome was time to dis...

A randomized trial of prewarming on patient satisfaction and thermal comfort in outpati...
https://doi.org/10.1016/j.jclinane.2016.04.041
Journal of Clinical Anesthesia; Akhtar Z, Hesler BD et. al.

Aug 24th, 2016 - To test the primary hypothesis that forced-air prewarming improves patient satisfaction after outpatient surgery and to evaluate the effect on core temperature and thermal comfort. Prospective randomized controlled trial. Preoperative area, operating room, and postanesthesia care unit. A total of 115 patients aged 18 to 75 years with American Society of Anesthesiologists status <4 and body mass...

A Multimodal Intervention Improves Postanesthesia Care Unit Handovers.
https://doi.org/10.1213/ANE.0000000000000670
Anesthesia and Analgesia; Weinger MB, Slagle JM et. al.

Mar 25th, 2015 - Failures of communication are a major contributor to perioperative adverse events. Transitions of care may be particularly vulnerable. We sought to improve postoperative handovers. We introduced a multimodal intervention in an adult and a pediatric postanesthesia care unit (PACU) to improve postoperative handovers between anesthesia providers (APs) and PACU registered nurses (RNs). The interven...

Noninvasive temperature monitoring in postanesthesia care units.
https://doi.org/10.1097/ALN.0b013e3181a864ca
Anesthesiology Langham GE, Maheshwari A et. al.

Jun 10th, 2009 - Initial postoperative core temperature is a physician and hospital performance measure. However, the extent to which core temperature changes during emergence from anesthesia and transport from the operating room to the postanesthesia care unit (PACU) remains unknown. Similarly, the accuracy of many noninvasive temperature-monitoring methods used in the PACU has yet to be quantified. This study...

Comparison of three video laryngoscopy devices to direct laryngoscopy for intubating ob...
https://doi.org/10.1016/j.jclinane.2015.12.042
Journal of Clinical Anesthesia; Yumul R, Elvir-Lazo OL et. al.

May 17th, 2016 - To compare three different video laryngoscope devices (VL) to standard direct laryngoscopy (DL) for tracheal intubation of obese patients undergoing bariatric surgery. VL (vs DL) would reduce the time required to achieve successful tracheal intubation and improve the glottic view. Prospective, randomized and controlled. Preoperative/operating rooms and postanesthesia care unit. One hundred twen...

Intravenous dextrose administration reduces postoperative antiemetic rescue treatment r...
https://doi.org/10.1213/ANE.0b013e3182458f9e
Anesthesia and Analgesia; Dabu-Bondoc S, Vadivelu N et. al.

Jan 18th, 2012 - Postoperative nausea and vomiting (PONV) remains the most common postoperative complication, and causes decreased patient satisfaction, prolonged postoperative hospital stays, and unanticipated admission. There are limited data that indicate that dextrose may reduce nausea and vomiting. In this trial, we attempted to determine whether the rate of PONV can be decreased by postoperative administr...

Resource savings and outcomes associated with outpatient laparoscopic appendectomy for ...
https://doi.org/10.1016/j.jpedsurg.2017.03.039
Journal of Pediatric Surgery; Gurien LA, Burford JM et. al.

Mar 29th, 2017 - Postoperative admission for acute appendicitis utilizes health care system resources. We evaluated outcomes and hospital charges for children with nonperforated appendicitis who underwent outpatient laparoscopic appendectomy. A retrospective chart review was performed for patients ≤18years old who underwent laparoscopic appendectomy for acute appendicitis in 2015. Patients were categorized into...

Identification of patients at risk for postoperative respiratory complications using a ...
https://doi.org/10.1097/ALN.0b013e31819b5d70
Anesthesiology Gali B, Whalen FX et. al.

Mar 18th, 2009 - Patients with obstructive sleep apnea are at risk for perioperative morbidity. The authors used a screening prediction model for obstructive sleep apnea to generate a sleep apnea clinical score (SACS) that identified patients at high or low risk for obstructive sleep apnea. This was combined with postanesthesia care unit (PACU) monitoring with the aim of identifying patients at high risk of pos...

Successful extubation in the operating room after infratentorial craniotomy: the Clevel...
https://doi.org/10.1097/ANA.0b013e3181eee548
Journal of Neurosurgical Anesthesiology; Cata JP, Saager L et. al.

Jan 21st, 2011 - There is lack of information in the literature about the rate of successful extubation after infratentorial craniotomy and the risk factors associated with failed extubation. This retrospective analysis assessed the rate of successful extubation after infratentorial craniotomy in a tertiary hospital. Only infratentorial craniotomies for tumors, vascular malformations in the brainstem or cerebel...

Predictors of Delayed Postoperative Respiratory Depression Assessed from Naloxone Admin...
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4627440
Anesthesia and Analgesia; Weingarten TN, Herasevich V et. al.

May 20th, 2015 - The aim of this study was to identify patient and procedural characteristics associated with postoperative respiratory depression or sedation requiring naloxone intervention. We identified patients who received naloxone to reverse opioid-induced respiratory depression or sedation within 48 hours after discharge from anesthetic care (transfer from the postanesthesia care unit or transfer from th...

Handoff checklists improve the reliability of patient handoffs in the operating room an...
https://doi.org/10.1111/pan.12199
Paediatric Anaesthesia; Boat AC, Spaeth JP

May 20th, 2013 - Ineffective communications among healthcare providers are common and increases the risk of medical errors. During the perioperative period, multiple handoffs occur within a short period of time, and failure to convey important patient information can compromise safety. We used quality improvement methodology to improve the reliability of our handoffs in the operating room and postanesthesia car...

The efficacy of intravenous paracetamol versus tramadol for postoperative analgesia aft...
https://doi.org/10.1016/j.jclinane.2010.07.001
Journal of Clinical Anesthesia; Uysal HY, Takmaz SA et. al.

Feb 7th, 2011 - To evaluate the efficacy and the quality of recovery with intravenous (IV) paracetamol versus tramadol for postoperative analgesia after adenotonsillectomy in children. Prospective, randomized, double-blinded clinical trial. Operating room and Postanesthesia Care Unit (PACU) of a university-affiliated hospital. 64 ASA physical status I and II children, aged 6 to 16 years, scheduled for adenoton...

Incidence and risk factors associated with ipsilateral shoulder pain after thoracic sur...
https://doi.org/10.1053/j.jvca.2013.10.008
Journal of Cardiothoracic and Vascular Anesthesia; Bunchungmongkol N, Pipanmekaporn T et. al.

Jan 22nd, 2014 - This study was designed to determine the incidence and risk factors associated with ipsilateral shoulder pain (ISP) after thoracic surgery and to investigate characteristics, locations, and severity of ISP. A prospective observational study. University hospital. Two hundred five patients who underwent thoracic surgery. None. Pain at the incisional site and shoulder pain were assessed separately...

Outcomes of early delirium diagnosis after general anesthesia in the elderly.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4017627
Anesthesia and Analgesia; Neufeld KJ, Leoutsakos JM et. al.

Jun 12th, 2013 - Postoperative delirium in the elderly, measured days after surgery, is associated with significant negative clinical outcomes. In this study, we evaluated the prevalence and in-hospital outcomes of delirium diagnosed immediately after general anesthesia and surgery in elderly patients. Consecutive English-speaking surgical candidates, aged 70 years or older, were prospectively enrolled during J...

Impact of anesthesia technique on the incidence of major complications after open aorti...
https://doi.org/10.1016/j.jclinane.2013.01.009
Journal of Clinical Anesthesia; Licker M, Christoph E et. al.

May 20th, 2013 - To determine the risk factors of perioperative complications and the impact of intrathecal morphine (ITM) in major vascular surgery. Retrospective analysis of a prospective cohort. Operating room, intensive care unit, and Postanesthesia Care Unit of a university hospital. Data from 595 consecutive patients who underwent open abdominal aortic surgery between January 1997 and December 2011 were r...

Residual neuromuscular block: lessons unlearned. Part I: definitions, incidence, and ad...
https://doi.org/10.1213/ANE.0b013e3181da832d
Anesthesia and Analgesia; Murphy GS, Brull SJ

May 5th, 2010 - In this review, we summarize the clinical implications of residual neuromuscular block. Data suggest that residual neuromuscular block is a common complication in the postanesthesia care unit, with approximately 40% of patients exhibiting a train-of-four ratio <0.9. Volunteer studies have demonstrated that small degrees of residual paralysis (train-of-four ratios 0.7-0.9) are associated with im...

Residual neuromuscular blockade and critical respiratory events in the postanesthesia c...
https://doi.org/10.1213/ane.0b013e31816d1268
Anesthesia and Analgesia; Murphy GS, Szokol JW et. al.

Jul 18th, 2008 - Incomplete recovery of neuromuscular function may impair pulmonary and upper airway function and contribute to adverse respiratory events in the postanesthesia care unit (PACU). The aim of this investigation was to assess and quantify the severity of neuromuscular blockade in patients with signs or symptoms of critical respiratory events (CREs) in the PACU. We collected data over a 1-yr period....

Incidence of postoperative shivering comparing remifentanil with other opioids: a meta-...
https://doi.org/10.1016/j.jclinane.2015.08.017
Journal of Clinical Anesthesia; Hoshijima H, Takeuchi R et. al.

Oct 3rd, 2015 - To determine whether the administration of remifentanil increases the incidence of postoperative shivering in comparison with the administration of alfentanil, fentanyl, or sufentanil. Meta-analysis. Operating room and postanesthesia care unit. We performed a computerized search of articles on PubMed, MEDLINE, and Scopus. Meta-analysis was performed using Review Manager and the DerSimonian and ...

Is the Ambu aScope 3 Slim single-use fiberscope equally efficient compared with a conve...
https://doi.org/10.1016/j.jclinane.2015.12.048
Journal of Clinical Anesthesia; Fukada T, Tsuchiya Y et. al.

Apr 4th, 2016 - The study objective was to evaluate whether the single-use fiberoptic bronchoscope (FOB), Ambu aScope 3 Slim, was equally efficient compared with the conventional reusable FOB, Olympus LF-GP, for nasal fiberoptic intubation in a manikin. A randomized crossed-over study. The postanesthesia care unit of Tokyo Women's Medical University Hospital. Twenty anesthesiologists who have experienced >50 o...