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Chapter 2: Guidelines for the Provision of Anaesthesia Services for the Perioperative Care of Elective and Urgent Care Patients 2024
Supplementary oxygen should be available for the transport of patients after general anaesthesia.129
Chapter 2: Guidelines for the Provision of Anaesthesia Services for the Perioperative Care of Elective and Urgent Care Patients 2024
Airway adjuncts should be available in the post-anaesthesia care unit (PACU) to minimise the incidence of upper airway obstruction that may lead to post obstructive pulmonary oedema and severe hypoxaemia.129
Chapter 2: Guidelines for the Provision of Anaesthesia Services for the Perioperative Care of Elective and Urgent Care Patients 2024
If a patient has known visual or hearing impairment or wears dentures, then their corrective lenses/hearing aid/dentures should be readily accessible and available postoperatively.195
Chapter 2: Guidelines for the Provision of Anaesthesia Services for the Perioperative Care of Elective and Urgent Care Patients 2024
All institutions should have protocols and the necessary facilities for managing postoperative care and should review and update these regularly.190
Chapter 2: Guidelines for the Provision of Anaesthesia Services for the Perioperative Care of Elective and Urgent Care Patients 2024
The following protocols should be held and easily accessible for:
- management of postoperative nausea and vomiting
- pain relief for patients with chronic pain196
- hypothermia197
- blood transfusion
- fluid therapy
- acute coronary syndrome
- respiratory diseases
- hypotension
- hypertension
- monitoring following central and peripheral neuraxial blockade198
- escalation to higher levels of postoperative care (e.g. to a critical care unit) should the...
Chapter 2: Guidelines for the Provision of Anaesthesia Services for the Perioperative Care of Elective and Urgent Care Patients 2024
There should be a named lead consultant for the PACU (see Glossary).183
Chapter 2: Guidelines for the Provision of Anaesthesia Services for the Perioperative Care of Elective and Urgent Care Patients 2024
Processes for the communication and implementation of patient safety alerts should be in place.
Chapter 2: Guidelines for the Provision of Anaesthesia Services for the Perioperative Care of Elective and Urgent Care Patients 2024
Patients should be transferred to the ward, the postoperative care environment or the critical care unit accompanied by two members of staff, at least one of whom should be suitably trained to locally agreed standards.199 The anaesthetic record, recovery and prescription charts together with the postoperative plan, should accompany the patient and be clearly communicated to the receiving ward nurse.