Abstract
The aim of this research was to analyze the post-operative complications of general anesthesia and by utilizing that information, to plan and produce a comprehensive detailed layout of the literature related to the subject investigated. More than 200 studies were surveyed, and the data collected was organized with a systematic layout of the observing and monitoring processes of the post-operative general anesthesia complications. The study concluded that post anaesthetic observations and monitoring are an essential requirement for patient assessment and the recognition of clinical deterioration in post-operative patients. There is disparity in the literature as to what constitutes ‘standard’ routine post anaesthesia orders, so in line with the observation and continuous monitoring guidelines Acknowledgement DOI: 10.7176/JHMN/99-01 Publication date: April 30 th 2022
Highlights
Postoperative patients must be observed, monitored and assessed closely for any deterioration in condition and the relevant postoperative care plan or pathway must be implemented
This includes care given during the immediate post-operative period, both in the operating room and post-anesthesia care unit (PACU), as well as during the days following surgery
Post anaesthetic observations and monitoring are an essential requirement for patient assessment and the recognition of clinical deterioration in post-operative patients
Summary
Postoperative patients must be observed, monitored and assessed closely for any deterioration in condition and the relevant postoperative care plan or pathway must be implemented. By definition; postoperative care is the management of a patient after surgery This includes care given during the immediate post-operative period, both in the operating room and post-anesthesia care unit (PACU), as well as during the days following surgery. The post anaesthetic care unit (PACU) or recovery must be in close proximity to the operating rooms, have dedicated staff, appropriate monitoring and the drugs and equipment for routine and emergency care. The main functions of the PACU are: 1- Monitor the patient’s vital signs more closely than is possible on the ward 2- Optimize the patient’s analgesia and treat postoperative nausea and vomiting 3- Quickly detect and treat early complications after surgery and anaesthesia. Post-operative complications from general anesthetics include: suppressed diaphragmatic movement, decreased response by the ventilatory system, atelectasis (alveolar collapse), perfusion abnormalities, decreased muco-cilliary transport making the patient susceptible to infection, hypoxemia, respiratory failure and respiratory distress syndrome (Kanat, Golcuk, Teke & Golcuk, 2007)
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