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An automated blood pressure device, pulse oximetry, electrocardiographic monitoring, and intravenous supports should be located by each bed. An area for charting
A supply of immediately available emergency equipment should also be located in the PACU and should include an airway cart consisting of oral and nasal airways; orotracheal, nasotracheal, and tracheostomy tubes; laryngoscopes; bronchoscopes; and hand ventilating devices. Self-inflating bags with positive end-expiratory pressure (PEEP) valves are also useful. A defibrillator capable of synchronized defibrillation should be available, as well as an electrocardiograph, pacemaker, and pacing wires.
A "crash cart" containing cardiopulmonary resuscitation equipment and emergency drugs should be available and fully stocked at all times. Chest tube trays, cut-down trays, and tracheostomy trays are necessary.
Automated patient tracking systems that use computers to provide real-time information on the location and status of surgical patients in the operating room suite may become more prevalent. These systems provide video displays of real-time surgical case information. The information is maintained by the use of bar code scanners, magnetic readers, or common keyboard-based input terminals.
Automated patient tracking systems can provide the PACU with information regarding room utilization, delays and cancellations, in-transit times, and expected arrival at the recovery room. This information may facilitate staffing. It is not known how these operating room management information systems affect PACU efficiency. Computer-assisted charting of patient vital signs, notes, and laboratory data is becoming more common. Again, their impact on PACU efficiency is unknown.
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Following Commands (P Value) | Sitting (P Value) | PACU Discharge (P Value) |
---|---|---|---|---|---|
Reference | Duration of General Anesthesia, min (SD) | Numbers of Subjects (Propofol, Desflurane) | Mean Recovery Time with Propofol — Recovery Time with Desflurane (min) | ||
Juvin[27] | 200 (65) | 14, 14 | 6.9 (P < .02) |
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-11 (NS) |
Song[28] | 161 (7) | 40, 40 | 4.9 (P < .05) |
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-15 (NS) |
Boldt[29] | 115 (27) | 20, 20 |
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1 (NS) |
Lebenbom-Mansour[30] | 91 (32) | 14, 16 | 3 (NS) |
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-53 (P < .05) |
Rosenberg[31] | Not given | 25, 25 |
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-14 (P = .09) |
Raeder[32] | 63 (25) | 31, 30 | 1.2 (P < .02) | -2 (NS) | -2 (NS) |
Van Hemelrijck[33] | 62 (34) | 23, 23 | 1.9 (NS) | -2 (NS) | -5 (NS) |
Rapp[34] | 49 (37) | 23, 22 | -0.4 (NS) | -47 (P < .01) | -3 (NS) |
Wrigley[35] | 43 | 15, 15 | 0.6 (NS) | -4 (NS) |
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Ashworth[36] | 24 (11) | 30, 30 | 1.5 (NS) | -2 (NS) | -1 (NS) |
Graham[37] | 20 (7) | 13, 15 | 0.3 (NS) | 1 (NS) |
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NS, not significant. |
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