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Chapter 35 - Recovery of Patients from Anaesthesia and Surgery

Published online by Cambridge University Press:  18 August 2022

By
Patricia Smedley  and
Jane Nicholas-Holley
Edited by
Daniel Rodger ,
Kevin Henshaw ,
Paul Rawling  and
Scott Miller
Daniel Rodger
Affiliation:
Senior Lecturer in Perioperative Practice, London South Bank University
Kevin Henshaw
Affiliation:
Associate Head of Allied Health Professions, Edge Hill University, Ormskirk
Paul Rawling
Affiliation:
Senior Lecturer in Perioperative Practice, Edge Hill University, Ormskirk
Scott Miller
Affiliation:
Consultant Anaesthetist, St Helens and Knowsley Hospitals NHS Trust
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Summary

In the immediate post-anaesthesia phase the patient’s airway, breathing, and circulation are subject to dynamic change as the effects of anaesthesia begin to wear off. If not carefully managed, life threatening complications can occur rapidly. The experienced practitioner uses risk appraisal to inform physical assessment in order to pre-empt complications or correct them if they occur. This chapter focuses on the key priorities of assessment together with other essential factors such as pain control.

Keywords

RecoveryPatient safetyPostanaesthetic carePACUSurgeryAnaesthesia
Type
Chapter
Information
Fundamentals of Operating Department Practice , pp. 384 - 406
Publisher: Cambridge University Press
Print publication year: 2022

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References

Royal College of Anaesthetists. Guidelines for the provision of postoperative care, 2019. Available from: www.rcoa.ac.uk/sites/default/files/documents/2020-02/GPAS-2019-04-POSTOP.pdf.Google Scholar
NHS Estates. Health Building Note 26, Facilities for Surgical Procedures, Volume 1. London: The Stationery Office, 2004.Google Scholar
Klein, A. A., Meek, T., Allcock, E., et al. Recommendations for standards of monitoring during anaesthesia and recovery 2021. Anaesthesia 2021; 76: 1212–1223.Google Scholar
Association of Anaesthetists. Guidelines: Immediate Post-Anaesthesia Recovery London: Association of Anaesthetists, 2013.Google Scholar
Yates, J.. Care of the postanaesthetic patient. In Woodhead, K. and Wicker, P. (eds.), A Textbook of Perioperative Care. London: Elsevier, 2005, pp. 181–196.Google Scholar
Hatfield, A. The Complete Recovery Room Book, 5th ed. Oxford: Oxford University Press, 2014.Google Scholar
Toney-Butler, T. J. and Thayer, J. M.. Nursing process. Available from: www.ncbi.nlm.nih.gov/books/NBK499937/ (accessed February 2021).Google Scholar
Smedley, P.. Staffing in the PACU: no magic formula. British Journal of Anaesthetic and Recovery Nursing 2010; 11: 3–8.Google Scholar
Association of Anaesthetists. UK National Core Competencies for Post-Anaesthesia Care. London: Association of Anaesthetists. 2013.Google Scholar
Nursing and Midwifery Council. Revalidation. London: Nursing and Midwifery Council, 2015.Google Scholar
Smedley, P. and Quine, N.. Postoperative care. In Woodhead, K. and Fudge, L. (eds.), Manual of Perioperative Care: an Essential Guide. Chichester: Wiley-Blackwell, 2012.Google Scholar
Nursing and Midwifery Council. What is a nursing associate? Available from: www.nmc.org.uk/about-us/our-role/who-we-regulate/nursing-associates/ (accessed February 2021).Google Scholar
NHS England and NHS Improvement. SBAR communication tool: situation, background, assessment, recommendation. Available from: www.england.nhs.uk/wp-content/uploads/2021/03/qsir-sbar-communication-tool.pdf.Google Scholar
Smedley, P.. Patient risk assessment in the PACU: an essential element in clinical decision making and planning care. British Journal of Anaesthetic and Recovery Nursing 2012; 13: 21–29.Google Scholar
Waugh, A. and Grant, A.. Ross and Wilson Anatomy and Physiology, 13th ed. Amsterdam: Elsevier Health Sciences, 2018.Google Scholar
Odom-Forren, J.. Drain’s Perianesthesia Nursing: A Critical Care Approach, 7th ed. Amsterdam: Elsevier Health Sciences, 2017.Google Scholar
Thompson, J., Moppett, I., and Wiles, M.. Smith and Aitkenhead’s Textbook of Anaesthesia, 7th ed. Amsterdam: Elsevier, 2019.Google Scholar
Smedley, P.. BARNA learning and teaching resource: airway. Available from: www.barna.co.uk (accessed February 2021).Google Scholar
Robinson, M. and Davidson, A.. Aspiration under anaesthesia: risk assessment and decision-making. Continuing Education in Anaesthesia Critical Care and Pain 2014; 14: 171–175.Google Scholar
Plaud, B., Debaene, B., Donati, F., et al. Residual paralysis after emergence from anesthesia. Anesthesiology 2010; 112: 1013–1022.Google Scholar
National Institute for Health and Care Excellence. Hypothermia: prevention and management in adults having surgery clinical guideline [CG65]. Available from: www.nice.org.uk/guidance/cg65/chapter/Recommendations.Google Scholar
Gordon, D. B.. Acute pain assessment tools current opinion. Anesthesiology 2015; 28: 565–569.Google Scholar

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