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Following surgery, all patients are admitted to a recovery area – the post-anaesthetic care unit (PACU) – where they will be cared for in the immediate postoperative period. Practitioners working in the PACU will deliver one-to-one patient care. They will receive a comprehensive handover from the anaesthetist that should include:

the patient’s name;

the operation or procedure that has been undertaken;

the type of anaesthetic delivered – spinal, epidural or general anaesthetic;

the intraoperative management in terms of airway management, observations (vital signs record- ings), positioning, warming devices, prophylaxis for deep vein thrombosis, and the drugs and fluids administered;

Table 8.9 Type of surgical dressing

Type of surgical dressing Example

Passive – a traditional dressing that provides cover over the

wound Gauze and tulle

Interactive – a polymeric film that is mostly transparent, permeable to water vapour and oxygen, and non-permeable to bacteria

Hydrogels and foam dressings

Bioactive – a dressing that delivers substances active in wound healing, such as hydrocolloids and alginates, and collagens

Tegasorb

Table 8.10 Surgical drains

Type of surgical drain Example

Passive

The drain involves a piece of tubing (soft latex, PVC, corrugated plastic or rubber) that carries the fluid from the wound site into a bag

The bag prevents contamination of the wound and surrounding skin by microorganisms

Corrugated Robinson Penrose

Active Medinorm

These involve a closed suction drain that prevents contamination of the wound The negative pressure creates a suction and drains the fluid via a tube into the container (concertina drain, expelled bulb or re-evacuated bottle)

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information relating to immediate post-surgery care, for example surgical drains and wound care;

post-anaesthesia instructions for PACU;

postoperative instructions for the ward.

It is the responsibility of the recovery practitioner to ask the anaesthetist to stay with their patient until the recovery practitioner is confident of safely and effectively continuing the patient’s care.

While obtaining the handover, the practitioner will be observing the patient’s airway and recording their vital signs every 5 minutes for 20–30 minutes (Table 8.13).

The PACU documentation will often integrate an early warning score (EWS). This is a tool that is used throughout ward areas in many hospitals as an alert system for deteriorating patients. The rationale behind it is to encourage early recognition of the deteriorating patient and, if necessary, to initiate treatment to prevent further deterioration. The scoring system is numerical, aiming for a score of below 3 for a recovering patient. As Table 8.14 shows, different parameters are given a different numerical value, with the extremes of parameters having the highest scores. The numerical values for the differ- ent parameters are added together to determine the EWS, which should then be used in conjunction with the referral guidelines (Rees 2003; Avard et al. 2011). A score of 3 for any single parameter or a total score of 3 is a trigger for action (Health Service Executive 2011).

However, in PACU, a high number of patients will initially trigger an alert just by the nature of having undergone an anaesthetic. This should be taken into consideration, and a number of PACUs now have a modified early warning system (MEWS) for use in the immediate postoperative phase (Subbe et al. 2001).

Table 8.11 Surgical instrumentation

Instrument Action

Sponge-holding forceps To hold a swab used in prepping the patient or swabbing a wound

Scalpel/blade To make an incision

Tissue forceps – with teeth at the end of the

forceps To hold or grasp soft issue

Artery forceps – curved or straight To clamp or dissect arteries or veins, and to hold small swabs (pledgets)

Dissecting forceps

Non-toothed (internal tissues)

Toothed (external tissues – skin or muscle)

To hold tissue when the surgeon is suturing or dissecting it

Dissecting scissors – curved To dissect tissue

Scissors – curved or straight To cut tissue or sutures Needle holder

Lightweight needle holder for vascular surgery To hold and support the suture needle Retractor (hand-held or self-retaining) To retract tissue

Towel clip

Tapes To hold surgical drapes in place

Diathermy – monopolar or bipolar To coagulate, fulgurate and cut tissue

Suction To remove blood, debris or fluid

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Table 8.12 Surgical specialties

Speciality Surgery – medical system,

condition or diseases Examples of surgical procedures within the identified surgical speciality General surgery – open and

laparoscopic surgery Digestive system

Thyroid gland Appendicectomy

Thyroidectomy

Laparoscopic cholecystectomy

Vascular surgery Circulatory system Embolectomy

Repair of aortic aneurysm Gynaecological – open and

laparoscopic surgery Female reproductive system Dilation and curettage Hysterectomy

Laparoscopic sterilisation Urology – laparoscopic and

open surgery Urinary tract

Prostrate gland (male patients) Cystoscopy

Transurethral resection of the prostrate

Plastic surgery Medical conditions and diseases of the limb and breast Reconstructive surgery

Removal of a breast lump Mastectomy

Otolaryngology (ear, nose and

throat) Ear, nose and throat Adenoidectomy

Submucous resection of the nasal septum

Mastoidectomy Maxillofacial and oral surgery Head, neck and dental

specialities

Reconstructive surgery

Removal of wisdom teeth

Ophthalmology Components of the eye and

surrounding tissues Lens implantation for cataract Squint correction

Orthopaedic surgery Preservation, restoration and repair of the bones, ligaments and muscles

Arthroscopy Total knee surgery

Trauma surgery Emergency surgery for

fractures Reduction of fractures of the

wrist, humerus, tibia and fibula Cardiac surgery Circulatory and cardiovascular

systems Open heart surgery

Coronary heart bypass Bariatric surgery Surgery to reduce obesity Gastric bypass

Gastric banding Gastric balloon

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Table 8.13 Basic observations in recovery

Monitoring Considerations

Airway Is the airway patent?

What type of airway is in situ?

If patients are maintaining their own airway, is the oxygen delivery device appropriate?

Is the oxygen flowing at an appropriate volume or percentage to meet the patient’s needs?

Breathing (respiratory rate)

(see the text for more information on the early warning score)

Is the patient breathing spontaneously?

What is the respiratory rate?

What is the depth of breathing – is it shallow or deep?

Are the patient’s chest movements symmetrical?

Blood pressure

(see the text for more information on the early warning score)

Is the blood pressure within normal parameters for this patient?

What was the intraoperative blood pressure?

What was the preoperative baseline blood pressure?

What is the patient’s capillary refill time?

Oxygen saturation Are the oxygen saturation levels within acceptable parameters?

Look at the patient’s colour

Does the patient look adequately oxygenated?

ECG (heart rate and rhythm)

(see the text for more information on the early warning score)

What is the patient’s heart rate? (<40 beats per minute = an early warning score of 2; 41–50 beats per minute = a score of 1)

Is it within normal parameters? Is the patient or bradycardic (<50 beats per minute) or tachycardic (>100 beats per minute)?

Pain score A variety of pain scores are available; an example is a score of 0–3 with 0 = no pain, 1 = mild pain, 2 = moderate pain, and 3 = severe pain

Has an analgesic regimen been prescribed?

Nausea and vomiting Does the patient feel nauseated or have they vomited?

What type of surgery have they had?

Have antiemetics been prescribed?

Temperature Is the patient too cold or too warm?

Are they shivering or sweating?

Sedation score (conscious level) An example of a scoring system for conscious level is the AVPU, where patients are categorised as A = alert, V = responds to voice, P = responds to pain, or U = unconscious

Urine output in catheterised patients (see the text for more information on the early warning score)

See the hospital’s policy

As an example, urine output can be monitored in millilitres over a 4-hour period, with >160 mL being an average

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