Assessment of Risk Variables in the Post-Anesthesia Care Unit of a Tertiary Care Hospital in Dhaka

Abstract

Background: In a location apart from the regular intensive care unit (ICU), the postanaesthetic care unit (PACU) provides postoperative high-dependency or intense care for high-risk surgical patients. Therefore, it meets the population's well-documented need for better postoperative care. Objectives: The aim of the study was to Assess the risk variables in the post-anesthesia care unit of a tertiary care hospital in Dhaka. Methods: This cross-sectional descriptive study was carried out in the Department of anesthesiology, Uttara Adhunik Medical College Hospital, during October 2020 to September 2021. A total of 100 patients were participate in this study. Patients underwent tonsillectomy, hysterectomy, caesarean section, and laparoscopic cholecystectomy, both male and female were included in this study. Patients who have not given consent to participate in the study were excluded from the study. Statistical Packages for Social Sciences (SPSS-26), where required. Results: About 40% patients were male and 60% were female. 80% of the patients were under ASA classification-1, 15% under ASA classification-2 and 5% were under ASA classification ≥3. Here, 22.22% patients had pre-exixting co-morbidity of respiratory, CVS neurological disease respectively. 30% had DM. Only 3.33% and more than 1 pre-exixting co-morbidity. 94.20% patients had no risk of surgery and only 5.80% patients were under risk of surgery. About 40% patients stayed 60-120 minutes in the post anesthesia care unit, 30% patients stayed 120-180 minutes in the post anesthesia care unit, 20% patients stayed 180-240 minutes in the post anesthesia care unit and 10% patients stayed ≥240 minutes in the post anesthesia care unit. 5% patients had develop complication in the post anesthesia care unit for 1-2 hours, 32% for 2-3 hours, 20% for 3-4 hours and 25% for more than 4 hours. Conclusion: The main reasons for a prolonged stay in the post-anesthesia care unit are perioperative cardiovascular and respiratory ....