Supriya Ghosh (Editor)

Post anesthesia care unit

Updated on
Edit
Like
Comment
Share on FacebookTweet on TwitterShare on LinkedInShare on Reddit

A post-anesthesia care unit, often abbreviated PACU and sometimes referred to as post-anesthesia recovery or PAR, is a vital part of hospitals, ambulatory care centers, and other medical facilities. It is an area, normally attached to operating room suites, designed to provide care for patients recovering from general anesthesia, regional anesthesia, or local anesthesia.

Contents

Common activities

The basic responsibilities of PACU staff include:

  • airway management and oxygen administration for patients who have undergone general anesthesia
  • monitoring vital signs (heart rate, blood pressure, temperature, and respiratory rate)
  • managing postoperative pain
  • treating postoperative nausea and vomiting
  • treating postanesthetic shivering
  • monitoring surgical sites for excessive bleeding, mucopurulent discharge, swelling, hematomas, wound healing, and infection

    • More intensive care may include:

  • Preparation and education for the use of patient-controlled analgesia (PCA) units
  • Preparation and administration of intravenous, epidural, or perineural infusions
  • Invasive monitoring such as arterial lines, central venous lines, and ventriculostomies

    • Postoperative complications

    Occasionally, life-threatening complications, such as laryngospasm, respiratory arrest, or malignant hyperthermia, can arise after anesthesia. Patients may be intubated because of anaphylaxis, pulmonary edema, pneumothorax, or long-term exposure to anesthesia and narcotics. Unless complications occur, most patients will only stay in the PACU for a few hours before returning home or to another department of the hospital.

    References

    Post-anesthesia care unit Wikipedia
    (Text) CC BY-SA