Em relação à dor, a cada incremento de uma unidade na escala numérica (0 a . até a obtenção do escore, segundo a escala de Aldrete e Kroulik modificada, . Área quirúrgica pediátrica. CIRCUITO QUIRÚRGICO MONITORIZACIÓN La monitorización recomendada. A su llegada a la unidad la. puede ser modificado o adaptado según los requerimientos institucionales y .. Use an Aldrete type scale to assess every patient prior to discharge from the.

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Supplementary data Supplementary data associated with this article can be found, in the online version, at http: Twelve documents were identified as clinical practice guidelines on postoperative care during the clearance process of the two search phases. A modified Delphi method was used.

Evidence-based clinical practice manual: The documents meeting the eligibility requirements as source documents for this Handbook were identified.

Cardiovascular function ASA experts 17 considered that blood pressure, pulse and EKG monitoring identify complications, reduce the number of adverse outcomes and shall be implemented during anesthesia recovery insufficient evidence.

The level of hydration should be assessed depending on the particular patient, particularly if the surgical procedure entailed a significant blood or fluids loss and required additional fluid management. Task Force on Postanesthetic Care.

Quality and safety guidelines of postanaesthesia care: The Guidelines 17 included evidence that active warming of the patient is associated to temperature normalization Evidence A2-B. The team that prepared the handbook developed the final document. It has been considered that the need to have a responsible companion at discharge of the outpatient reduces the risk of complications and improves patient satisfaction and well-being.

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.

Each phase used standardized techniques and procedures for the development of evidence-based guidelines and protocols. Temporal patterns of postoperative complications. Conditions or requirements of the postoperative care unit The postoperative care unit shall preferably be located centrally to the operating rooms, allowing easy access and transit to and from the unit. Immediate post-anaesthesia recovery Urine output and micturition shall be assessed in particular patients undergoing specific procedures.


Evidence-based clinical practice manual: Postoperative controls

Comparing the efficacy of prophylactic metoclopramide, ondansetron, and placebo in cesarean section patients given epidural anesthesia. Ondansetron and dolasetron provide equivalent postoperative vomiting control after ambulatory tonsillectomy in dexamethasone-pretreated children.

Temperature Experts modififada that measuring the patient’s temperature is associated with less postoperative complications and that temperature should be measured during the anesthesia recovery phase insufficient evidence. Pain management may be started during the surgical procedure and be part of the anesthetic procedure selected for the particular patient.

Introduction The practice of anesthesiology has made considerable progress in terms of patient safety.

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Complications in the postanesthetic care unit. A second search included databases from protocol compilers and meta-browser agencies.

After presenting the clinical aldret of the handbook and following the experts’ discussion, the following characteristics were evaluated for compliance:. Post-anesthesia evaluation and monitoring. Practice guidelines for postanesthetic care: Middle East J Anesthesiol.

Copyright Consultations were made and authorizations secured for using and translating part of the contents of the guidelines to prepare the modificqda. The sources of information are shown in Table 1. Following the administration of the antagonistic drug, patients must be under observation for a long time to prevent the relapse of respiratory depression.

The meta-analysis of CCTs comparing metoclopramide 10 mg against placebo do not report any statistically significant differences in nausea and vomiting during the immediate escla period Evidence A1-Ebut show efficacy in reducing vomiting during the first twenty four hours into the postoperative period Evidence category A1-B. ASA experts 17 considered that blood pressure, pulse and EKG monitoring identify complications, reduce the number of adverse outcomes and shall be implemented during anesthesia recovery insufficient evidence.

The implementation of post-anesthesia care protocols contributes to reduce the hospital stay, the complications, the mortality and unplanned critical care admissions. A clinical pathway in a post-anaesthesia car unit to reduce length of stay, mortality and unplanned intensive care unit admission. Ideally the patient shall be kept under normal temperature keeping in mind the changes in temperature self-regulation following anesthesia and surgery. Systematic review of secondary literature A systematic review was performed to identify the clinical practice protocols and guidelines with indications or recommendations for anesthesiology management.


A comparison between meperidine, clonidine and urapidil in the treatment of postanesthetic shivering. Whether using this handbook escaala ethical. Whether the indications are relevant to most of the surgical environments. This may extend the length of stay of the patient in the unit.

Motor activity assessment following regional anesthesia According to S. This care must be improved so that the patient begins to recover or for an adequate transfer to more complex care units.

An anesthesiologist responsible for the patient’s recovery at the postoperative care unit shall be available. Efficacy of orally disintegrating ondansentron in preventing postoperative nausea and vomiting after laparoscopic cholecystectomy: Single-dose haloperidol for the prophylaxis of postoperative nausea and vomiting after intrathecal morphine.

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Make up of the handbook development team A team of expert anesthesiologists and epidemiologists was organized and entrusted with the task of defining the methodological guidelines aldete preparing the evidence-based handbook. The neuromuscular evaluation begins with a physical exam and may include neuromuscular block monitoring Evidence B2-B. Clinical contents Approach The handbook focuses on the postoperative management of the patient, emphasizing the reduction in the number of adverse events through a standardized evaluation of the recovery process, leading to improved quality of life during the post-anesthesia phase and a rationalization of postoperative care and discharge criteria.

Person K, Lundberg J. A minimum length of stay at the postoperative care unit is not recommended as a routine.

Ondansentron is considered a first line treatment.