TY - CHAP M1 - Book, Section TI - Post-Anesthesia Care Unit A1 - Kierce, Jeannette A2 - Ellinas, Herodotos A2 - Matthes, Kai A2 - Alrayashi, Walid A2 - Bilge, Aykut PY - 2021 T2 - Clinical Pediatric Anesthesiology AB - FOCUS POINTSPreparation for recovery begins before the child arrives in the preoperative area for surgery.The postanesthesia care unit (PACU) must be equipped and staffed for full resuscitation if that becomes necessary.Good communication between anesthesia and recovery staff at handoff from the operating room (OR) is crucial.Perioperative agitation is common in children and is multifactorial; emergence delirium is a specific entity in the postoperative period that may be best managed by prophylaxis.There are many causes for respiratory insufficiency in the postoperative period. Management should focus on rapid diagnosis and symptomatic treatment.Postoperative nausea or vomiting (PONV) is more common in children than in adults. Identified risk factors should be sought and prophylaxis considered if found.Children can have difficulty communicating pain; a multimodal approach to analgesia in the perioperative period offers many benefits.Good communication with parents on PACU discharge is necessary to achieve an acceptable post-op course. SN - PB - McGraw Hill CY - New York, NY Y2 - 2024/04/19 UR - accessanesthesiology.mhmedical.com/content.aspx?aid=1176459893 ER -