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• W3025299183 abstract "To evaluate the patients' baseline condition upon arrival in the PACU as a method of assessment of the quality of anaesthesia, and to establish a model for future comparisons.Prospective observational study.Surgical PACU in an academic tertiary hospital.All patients (n = 11,241) arriving in our hospital's recovery units after elective surgery.In this observational study, clinical data, vital signs and comfort parameters were collected from surgical patients who arrived in the PACU. For each parameter, its frequency distribution or percentage of occurrence was determined.The incidence of anaesthesia associated side effects such as hypoxemia, cold extremities, shivering and/or vomiting was 5%. The incidence of nausea, sore throat, headache and/or pruritus was 9%. Sore throat occurred in 4.8% of intubated patients, in 4% after laryngeal mask insertions and in 3.6% with no usage of any airway device. From all patients 48% had no pain at all (VAS = 0), 31% had low pain scores (VAS 1-3) and 16% had moderate (VAS 4-6) pain levels, while 5% indicated severe pain (VAS 7-10). 97.5% of patients were normothermic (35.0-37.3°C), 77% had normal heart rate (60-100 beats per minute) and 74% had normal systolic blood pressure (90-140 mmHg). After use of neuromuscular relaxants, moderate clinical signs of residual curarisation (2 of 3 clinical criteria positive) were observed in 1% and slight clinical signs of residual curarisation (1 of 3 clinical criteria positive) were observed in 22.4% of patients. These findings were collected in all patients, independently whether they had reversal of neuromuscular relaxation.Compared with the figures published in the literature, we report a lower incidence and severity of anaesthesia related side effects, measured as baseline data, upon patients' arrival in the post anaesthesia care unit. The baseline data may serve as a model to trigger specific interventions aimed at improving the quality of anaesthetic care, which could be assessed in future investigations.Să evalueze condiţia bazală a pacienţilor la momentul sosirii în unitatea de îngrijire postoperatorie (UIP) ca o metodă de apreciere a calităţii anesteziei şi pentru a stabili un model pentru comparaţii ulterioare.Studiu prospectiv observaţional.Spital universitar terţiar – unitate de îngrijiri postoperatorii (UIP) chirurgicală.Toţi pacienţii (n = 11 241) internaţi în UIP după intervenţii chirurgicale elective.S-au colectat datele clinice, semnele vitale şi parametrii de confort de la pacienţii chirurgicali care au fost internaţi în UIP. Au fost determinate frecvenţa, distribuţia şi incidenţa pentru fiecare parametru.Incidenţa efectelor secundare asociate cu anestezia (hipoxia, extremităţi reci, frison şi/sau vărsătura) a fost de 5%. Incidenţa apariţiei greţurilor, gât iritat, cefaleei şi/sau a pruritului a fost de 9%. Gâtul iritat a apărut la 4,8% din pacienţii care au fost intubaţi, la 4% după masca laringiană şi la 3,6% din cei la care nu a fost manipulată calea aeriană. Nu au prezentat dureri (VAS 0) 48% din pacienţi, 31% au prezentat scoruri scăzute de durere (VAS 1–3), 16% au avut dureri moderate (VAS 4–6), iar 5% au acuzat dureri intense (VAS 7–10). Din totalul pacienţilor studiaţi, 97,5% au fost normotermici (35–37,3°C), 77% au prezentat frecvenţă cardiacă normală (60–100 bătăi/minut) şi 74% au înregistrat o tensiune arterială sistolică normală (90–140 mmHg). În cazul celor la care s-au utilizat relaxante musculare s-au observat semne moderate de curarizare reziduală (2 din 3 criterii pozitive) la 1% din cazuri, iar la 22,4% s-au observat semne clinice uşoare de curarizare reziduală (1 din 3). Aceste determinări au fost înregistrate pentru toţi pacienţii independent de administrarea antagonizării blocului neuromuscular.În comparaţie cu datele publicate în literatură raportăm o incidenţă şi severitate mai redusă a efectelor secundare postanestezice, măsurate ca valori bazale la internarea în UIP. Datele bazale înregistrate pot servi ca referinţă pentru intervenţii ce îşi propun să îmbunătăţească calitatea serviciilor anestezice, care ar putea fi evaluate în cercetări ulterioare." @default.
• W3025299183 created "2020-05-21" @default.
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• W3025299183 date "2015-10-01" @default.
• W3025299183 modified "2023-09-26" @default.
• W3025299183 title "Early post-anaesthesia recovery parameters - a prospective observational study." @default.
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• W3025299183 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/5505370" @default.
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