RT Book, Section
A1 Kierce, Jeannette
A2 Ellinas, Herodotos
A2 Matthes, Kai
A2 Alrayashi, Walid
A2 Bilge, Aykut
SR Print(0)
ID 1176459893
T1 Post-Anesthesia Care Unit
T2 Clinical Pediatric Anesthesiology
YR 2021
FD 2021
PB McGraw Hill
PP New York, NY
SN 9781259585746
LK accessanesthesiology.mhmedical.com/content.aspx?aid=1176459893
RD 2024/04/19
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.