Post-anaesthesia care unit stay after total hip and knee arthroplasty under spinal anaesthesia

Acta Anaesthesiologica Scandinavica
Troels H LunnH Kehlet

Abstract

Post-anaesthesia care unit (PACU) admission must be well founded and the stay as short as possible without compromising patient safety. However, within the concept of fast-track surgery, studies are limited in addressing the question: why are patients staying in the PACU? All patients operated with primary unilateral total hip or knee arthroplasty (THA or TKA) under spinal anaesthesia were included in this hypothesis-generating, prospective, observational cohort study during a 4-month period. Surgical technique, analgesia, and perioperative care were standardized. Well-defined PACU discharge criteria that had to be met on two successive assessments were evaluated every 15 min until discharge. The primary outcome was time to meet PACU discharge criteria. Secondary outcomes were actual discharge time from the PACU, specific factors detaining patients in the PACU, and potential complications at the surgical ward at follow-up 24 h post-operatively. One hundred sixty-three patients were included in the final analysis (69 THA and 94 TKA). Time to meet PACU discharge criteria was [median (interquartile range)(95% confidence interval)]: 15 min (15-15)(15-116) for THA and 15 min (15-15)(15-75) for TKA. Actual discharge time from PACU wa...Continue Reading

References

Nov 1, 1970·Anesthesia and Analgesia·J A Aldrete, D Kroulik
Aug 10, 2001·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·P G DuncanL Ainsworth
Sep 9, 2006·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Imad T Awad, Frances Chung
Jul 25, 2007·Anesthesia and Analgesia·Kathrine HolteHenrik Kehlet
Jul 24, 2008·Anesthesiology·Daniel I Sessler
Jul 25, 2008·Annals of Surgery·Henrik Kehlet, Douglas W Wilmore
May 6, 2009·Anaesthesia·L Ø AndersenH Kehlet
Apr 6, 2011·Acta Anaesthesiologica Scandinavica·Henrik Kehlet, L Ø Andersen
May 31, 2011·Anesthesiology Clinics·Dennis P PhillipsBrian A Williams
Jun 24, 2011·International Anesthesiology Clinics·Brian A Williams, Michael L Kentor
Sep 29, 2011·Archives of Orthopaedic and Trauma Surgery·Henrik HustedHenrik Kehlet
Nov 10, 2011·Acta Orthopaedica·Henrik HustedHenrik Kehlet

❮ Previous
Next ❯

Citations

Sep 27, 2013·The Knee·Henrik Kehlet, Emmanuel Thienpont
Oct 22, 2013·Clinical Orthopaedics and Related Research·John M CoreyJesse M Ehrenfeld
Feb 26, 2016·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Jeffrey KayOlufemi R Ayeni
Feb 14, 2015·Acta Anaesthesiologica Scandinavica·J F Lundberg

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.