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ALLMedicine™ Postanesthesia Care Unit Center - News

Gynecologic surgery insufflation pressure: Less is more
https://www.mdedge.com/surgery/article/190923/surgery/gynecologic-surgery-insufflation-pressure-less-more?channel=39313
M. Alexander Otto

Dec 11th, 2018 - LAS VEGAS – Lower insufflation pressures were associated with improved patient outcomes and reduced postanesthesia care unit utilization in a review of 598 robot-assisted gynecologic surgery procedures performed at a single center by the same surgeon, said researchers at New York University (NYU) Medical Center. M.

Measurement of Resource Utilization for Total and Reverse Shoulder Arthroplasty
https://www.mdedge.com/surgery/article/102988/arthroplasty/joint-replacement/measurement-resource-utilization-total-and/page/0/1?channel=264

Sep 24th, 2015 - Data from a pilot study of 25 patients who underwent primary anatomical TSA for osteoarthritis and 25 patients who underwent primary RSA for massive rotator cuff tear allowed us to generate graphical representations of a single surgeon’s practice patterns that most affected the cost of care. Time in holding, time in the operating room, time in the postanesthesia care unit, and percentage of pat.

Paracervical block for laparoscopic supracervical hysterectomy yields mixed results
https://www.mdedge.com/surgery/article/81582/gynecology/paracervical-block-laparoscopic-supracervical-hysterectomy-yields/page/0/1

Apr 10th, 2014 - Results showed that the paracervical block and control groups were statistically indistinguishable with respect to the overall admission rate (41% vs. 28%) and the unplanned admission rate (34% vs.

PULMONARY PERSPECTIVES®: Why are we not advocating for ambulation?
https://www.mdedge.com/chestphysician/article/105999/pulmonology/pulmonary-perspectivesr-why-are-we-not-advocating/page/0/1

Feb 12th, 2016 - Three year results Validation and Retrospection Our culture has changed. Postoperative ambulation has been effectively inculcated into our postanesthesia care unit and our inpatient unit.

Recommendations for Performing Procedures on Patients With Known or Suspected COVID-19 (ASA, 2020)
https://reference.medscape.com/viewarticle/928107

Apr 6th, 2020 - The guidelines on performing procedures in patients with known or suspected COVID-19 were released on March 20, 2020, by the American Society of Anesthesiologists (ASA).[1] Performance of Procedures on Patients With Known or Suspected COVID-19 The patient should not be brought to the holding or postanesthesia care unit (PACU) areas. A designated operating room (OR) should be allocated and signs...

Change in Approach to Postop Nausea/Vomiting May Be Due
https://www.medscape.com/viewarticle/813891

Nov 5th, 2013 - SAN FRANCISCO — Most adults who are at risk for postoperative nausea and vomiting (PONV) after general anesthesia need more prophylactic antiemetics than current guidelines recommend, according to a new study that used a national database. The large study found that patients who had ambulatory surgery were much less likely to need a rescue antiemetic in the postanesthesia care unit when they in...

Postoperative Pain Control: More Opioids?
https://www.medscape.com/viewarticle/736894_1

Feb 9th, 2011 - Clinical Presentation: Pain Control Post Surgery A 68-year-old woman was admitted to the clinical unit following a total abdominal hysterectomy for fibroids. The postanesthesia care unit (PACU) nurse reports to the unit admitting nurse that the patient had a prolonged stay in the PACU because her pain was difficult to control, and she required a total of 2 mg of intravenous (IV) hydromorphone t...

Opioid Range Orders: Essential to Safe Pain Management
https://www.medscape.com/viewarticle/768908

Aug 14th, 2012 - Clinical Presentation: Postoperative Pain in a Child This patient is a 12-year-old girl with postoperative pain following an exploratory laparotomy and appendectomy 1.5 hours ago. She is admitted to the pediatric clinical unit after a 60-minute stay in the postanesthesia care unit (PACU). The nurse who admits the patient to the clinical unit obtains the following information: The patient is an ...

Postoperative Pain Control: More Opioids?
https://www.medscape.com/viewarticle/736894

Feb 9th, 2011 - Clinical Presentation: Pain Control Post Surgery A 68-year-old woman was admitted to the clinical unit following a total abdominal hysterectomy for fibroids. The postanesthesia care unit (PACU) nurse reports to the unit admitting nurse that the patient had a prolonged stay in the PACU because her pain was difficult to control, and she required a total of 2 mg of intravenous (IV) hydromorphone t...

Change in Approach to Postop Nausea/Vomiting May Be Due
https://www.staging.medscape.com/viewarticle/813891

Nov 5th, 2013 - SAN FRANCISCO — Most adults who are at risk for postoperative nausea and vomiting (PONV) after general anesthesia need more prophylactic antiemetics than current guidelines recommend, according to a new study that used a national database. The large study found that patients who had ambulatory surgery were much less likely to need a rescue antiemetic in the postanesthesia care unit when they in...

Study Identifies Who Is at Risk for Postdischarge Nausea and Vomiting After Ambulatory Surgery
https://www.staging.medscape.com/viewarticle/772340

Oct 11th, 2012 - Who Is at Risk for Post-discharge Nausea and Vomiting After Ambulatory Surgery? Apfel CC, Philip BK, Cakmakkaya OS, et al Anesthesiology. 2012;117:475-486 Study Summary Owing to aggressive prophylactic treatment, the incidences of nausea and vomiting in the postanesthesia care unit (PACU) have decreased. However, the problem of postdischarge nausea and vomiting (PDNV) is still pervasive, and ma...

Factors Associated With Recovery Room Intravenous Opiate Requirement After Pediatric Outpatient Operations
https://www.medscape.com/viewarticle/913238

Abstract and Introduction Abstract Background: Many children recovering from anesthesia experience pain that is severe enough to warrant intravenous (IV) opioid treatment within moments of admission to the postanesthesia care unit (PACU). Postoperative pain has several negative consequences; therefore, preventing significant PACU pain in children is both a major clinical goal and a moral/ethica...

Study Identifies Who Is at Risk for Postdischarge Nausea and Vomiting After Ambulatory Surgery
https://www.medscape.com/viewarticle/772340

Oct 11th, 2012 - Who Is at Risk for Post-discharge Nausea and Vomiting After Ambulatory Surgery? Apfel CC, Philip BK, Cakmakkaya OS, et al Anesthesiology. 2012;117:475-486 Study Summary Owing to aggressive prophylactic treatment, the incidences of nausea and vomiting in the postanesthesia care unit (PACU) have decreased. However, the problem of postdischarge nausea and vomiting (PDNV) is still pervasive, and ma...