Evidence-based clinical practice manual: Postoperative controls
Keywords:
Postoperative Care, Anesthesia Manuals as Topic, Evidence-Based, Medicine, Anesthesia Recovery Period
Abstract
Introduction: Post-anesthetic care reduces the anesthesia-related postoperative complications and mortality, shortens the length of stay at the postoperative care units and improves patient satisfaction.
Objective: To establish a set of recommendations for immediate post-anesthetic care of patients that received general/regional anesthesia or profound/moderate sedation at the postoperative care units.
Methodology: This is a process of "rapid" clinical practice guidelines adaptation, including systematic search. The illegible guidelines for adaptation were rated using AGREE II. The guideline selected to be adapted as the clinical practice handbook was Practice guidelines for post-anesthetic care of the American Society of Anesthesiologists. The manual was evaluated in terms of implementation ability, up-to-date information, relevancy, ethical considerations and patient safety by the group of anesthesiologists and epidemiologists based on Delphi.
Result: The manual kept the recommendations on evaluation and monitoring, pharmacological management of postoperative nausea and vomiting, antagonistic actions for sedatives and analgesics and neuromuscular block agents, emergency management and anesthesia recovery, as well as the criteria for discharge from the unit. Indications about the conditions and requirements of the unit and patient admission were also included.
Conclusions: This handbook comprises the basic guidelines for primary management of patients at the postoperative care unit. It may be amended or adapted according to the institutional requirements and for specific patient groups and is not intended to replace the existing protocols at the particular institution and does not define outcomes or prognosis.
References
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4. Schiff JH, Henn-Beilharz A, Welker A, Fohr B, Bothner U, Van Aken H, et al. Major incidents and complications in otherwise healthy patients undergoing elective procedures: results based on 1.37 million anaesthetic procedures. Br J Anaesth. 2014;113:109-21.
5. Apfel CC, Korttila K, Abdalla M, Kerger H, Turan A, Vedder I, et al. A factorial trial of six interventions for the prevention of postoperative nausea and vomiting. N Engl J Med. 2004;350:2441.
6. Hines R, Barash PG, Watrous G, O'Connor T. Complications occurring in the postanesthesia care unit: a survey. Anesth Analg. 1992;74:503.
7. Frost EA. Complications in the postanesthetic care unit. Middle East J Anesthesiol. 1992;11:525-47.
8. Khuri S, Henderson W, DePalma R, Mosca C, Healey N, Kumbhani D. Determinants of long-term survival after major surgery and the adverse effect of postoperative complications. Ann Surg. 2005;242:326-41.
9. Manku K, Bacchetti P Leung J. Prognostic significance of postoperative in-hospital complications in elderly patients. I. Long-term survival. Anesth Analg. 2003;96:583.
10. Thompson JS, Baxter BT, Allison JG, Johnson FE, Lee KK, Park WY, et al. Temporal patterns of postoperative complications. Arch Surg. 2003;138:596-603.
11. Annemie V, Verelst S, Bekkering GE, Schrooten W, Hellings J, Claes N. Incidence and preventability of adverse events requiring intensive care admission: a systematic review. J Eval Clin Pract. 2012;18:485-97.
12. Eichenberger A, Haller G, Cheseaux N, Lechappe V, Garnerin P, Walder B. A clinical pathway in a post-anaesthesia car unit to reduce length of stay, mortality and unplanned intensive care unit admission. Eur J Anaesthesiol. 2011;28: 859-66.
13. Falk SA. Postoperative care. Anesthesiol Clin. 2012;30:xi-ii.
14. Apfelbaum JL. Task Force on Postanesthetic Care. Practice guidelines for postanesthetic care: an updated report by the American Society of Anesthesiologists Task Force on Postanesthetic Care. Anesthesiology. 2013;118: 291-307.
15. U.S. news best hospitals 2014-15. Available from: http://health.usnews.com/best-hospitals/rankings?int=a01008 [accessed 28.08.14]
16. Cluzeau FA, Burgers JS, Brouwers M, Grol R, Mákelá M, Littlejohns P, et al. The AGREE Collaboration Writing Group: development and validation of an international appraisal instrument for assessing the quality of clinical practice guidelines: the AGREE project. Qual Saf Health Care. 2003;12:18-23.
17. American Society of Anesthesiologists Task Force on Postanesthetic Care. Practice guidelines for postanesthetic care: a report by the American Society of Anesthesiologists Task Force on Postanesthetic Care. Anesthesiology. 2002;96:742-52.
18. Whitaker DK, Booth H, Clyburn P, Harrop-Griffiths W, Hosie H, Kilvington B, et al. Immediate post-anaesthesia recovery 2013: Association of Anaesthetists of Great Britain and Ireland. Anaesthesia. 2013;68:288-97.
19. Scottish Intercollegiate Guidelines Network. Postoperative managemen in adults. Edimburgo: SIGN; 2004.
20. Williams PL, Webb C. The Delphi technique: a methodological discussion. J Adv Nurs. 1994;19:180-6.
21. Fitch KB, Bernstein SJ, Aguilar MD, Burnand B, La Calle JR, Lazaro P, et al. The RAND/UCLA appropriateness method. Santa Monica: RAND; 2001.
22. Vimlati L, Gilsanz F Goldik Z. Quality and safety guidelines of postanaesthesia care: Working Party on Post Anaesthesia Care (approved by the European Board and Section of Anaesthesiology, Union Européenne des Médecins Spécialistes). Eur J Anaesthesiol. 2009;26: 715-21.
23. Burmeister MA, Standl TG, Wintruff M, Brauer P, Blanc I, Schulte am Esch J. Dolasetron prophylaxis reduces nausea and postanaesthesia recovery time after remifentanil infusion during monitored anaesthesia care for extracorporeal shock wave lithotripsy. Br J Anaesth. 2003;90:194-8.
24. Eberhart LH, Morin AM, Hoerle S, Wulf H, Geldner G. Droperidol and dolasetron alone or in combination for prevention of postoperative nausea and vomiting after vitrectomy. Ophthalmology. 2004;111: 1569-75.
25. Iatrou CA, Dragoumanis CK, Vogiatzaki TD, Vretzakis GI, Simopoulos CE, Dimitriou VK. Prophylactic intravenous ondansetron and dolasetron in intrathecal morphine-induced pruritus: a randomized, double-blinded, placebo-controlled study. Anesth Analg. 2005;101: 1516-20.
26. Sukhani R, Pappas AL, Lurie J, Hotaling AJ, Park A, Fluder E. Ondansetron and dolasetron provide equivalent postoperative vomiting control after ambulatory tonsillectomy in dexamethasone-pretreated children. Anesth Analg. 2002;95:1230-5.
27. Wagner D, Pandit U, Voepel-Lewis T, Weber M. Dolasetron for the prevention of postoperative vomiting in children undergoing strabismus surgery. Paediatr Anaesth. 2003;13:522-6.
28. Dua N, Bhatnagar S, Mishra S, Singhal AK. Granisetron and ondansetron for prevention of nausea and vomiting in patients undergoing modified radical mastectomy. Anaesth Intensive Care. 2004;32:761-4.
29. Erhan Y, Erhan E, Aydede H, Yumus O, Yentur A. Ondansetron, granisetron, and dexamethasone compared for the prevention of postoperative nausea and vomiting in patients undergoing laparoscopic cholecystectomy: a randomized placebo-controlled study. Surg Endosc. 2008;22: 1487-92.
30. Jain V, Mitra JK, Rath GP, Prabhakar H, Bithal PK, Dash HH. A randomized, double-blinded comparison of ondansetron, granisetron, and placebo for prevention of postoperative nausea and vomiting after supratentorial craniotomy. J Neurosurg Anesthesiol. 2009;21:226-30.
31. Moussa AA, Oregan PJ. Prevention of postoperative nausea and vomiting in patients undergoing laparoscopic bariatric surgery - granisetron alone vs granisetron combined with dexamethasone/droperidol. Middle East J Anesthesiol. 2007;19:357-67.
32. Tseng LH, Liou SC, Chang TC, Tsai SC, Soong YK, Wong SY. A randomized blinded study of the incidence of postoperative nausea and vomiting in women after major gynecologic laparoscopic surgery. J Minim Invasive Gynecol. 2006;13: 413-7.
33. Alghanem SM Massad IM, Rashed EM, Abu-Ali HM, Daradkeh SS. Optimization of anesthesia antiemetic measures versus combination therapy using dexamethasone or ondansetron for the prevention of postoperative nausea and vomiting. Surg Endosc. 2010;24:353-8.
34. Aouad MT, Siddik-Sayyid SM, Taha SK, Azar MS, Nasr VG, Hakki MA, et al. Haloperidol vs. ondansetron for the preventio of postoperative nausea and vomiting following gynaecological surgery. Eur J Anaesthesiol. 2007;24: 171-8.
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How to Cite
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Benavides Caro CA, Prieto Alvarado FE, Torres M, Buitrago G, Gaitán Duarte H, García C, et al. Evidence-based clinical practice manual: Postoperative controls. Colomb. J. Anesthesiol. [Internet]. 2015 Jan. 1 [cited 2024 Apr. 23];43(1):20–31. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/438
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2015-01-01
How to Cite
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Benavides Caro CA, Prieto Alvarado FE, Torres M, Buitrago G, Gaitán Duarte H, García C, et al. Evidence-based clinical practice manual: Postoperative controls. Colomb. J. Anesthesiol. [Internet]. 2015 Jan. 1 [cited 2024 Apr. 23];43(1):20–31. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/438
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