The postanaesthesia care unit as a temporary admission location due to intensive care and ward overflow
Background. With the increasing number of critically ill patients, and shortage of intensive care unit and ward beds, some postoperative patients stay for an unnecessarily long period in the postanaesthesia care unit (PACU), until a suitable bed is available. Methods. We prospectively studied this p...
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| Veröffentlicht in: | British journal of anaesthesia : BJA 2002-04, Vol.88 (4), p.577-579 |
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| container_title | British journal of anaesthesia : BJA |
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| creator | Ziser, A. Alkobi, M. Markovits, R. Rozenberg, B. |
| description | Background. With the increasing number of critically ill patients, and shortage of intensive care unit and ward beds, some postoperative patients stay for an unnecessarily long period in the postanaesthesia care unit (PACU), until a suitable bed is available.
Methods. We prospectively studied this patient overflow admission to the PACU over 33 months. Four hundred patients with a mean age of 53.1 yr (range 0.2–94) were studied. Two hundred and eighty one (70.3%) patients were mechanically ventilated on admission to the PACU and 311 (77.8%) had invasive monitoring. Mean length of stay in the PACU was 12.9 (sd 10.6) h.
Results. The busiest hours of admission were 01–11 am. Eighteen (4.5%) patients died in the PACU, while waiting for an intensive care unit bed. The main problems were insufficient medical and nursing coverage, and inadequate communication and visiting facilities for patient’s families.
Conclusion. Patient overflow to the PACU is a common problem that requires attention. Guidelines for medical and nursing coverage, patient triage, and communication with relatives need to be outlined.
Br J Anaesth 2002; 88: 577–9 |
| doi_str_mv | 10.1093/bja/88.4.577 |
| format | Article |
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Methods. We prospectively studied this patient overflow admission to the PACU over 33 months. Four hundred patients with a mean age of 53.1 yr (range 0.2–94) were studied. Two hundred and eighty one (70.3%) patients were mechanically ventilated on admission to the PACU and 311 (77.8%) had invasive monitoring. Mean length of stay in the PACU was 12.9 (sd 10.6) h.
Results. The busiest hours of admission were 01–11 am. Eighteen (4.5%) patients died in the PACU, while waiting for an intensive care unit bed. The main problems were insufficient medical and nursing coverage, and inadequate communication and visiting facilities for patient’s families.
Conclusion. Patient overflow to the PACU is a common problem that requires attention. Guidelines for medical and nursing coverage, patient triage, and communication with relatives need to be outlined.
Br J Anaesth 2002; 88: 577–9</description><identifier>ISSN: 0007-0912</identifier><identifier>EISSN: 1471-6771</identifier><identifier>DOI: 10.1093/bja/88.4.577</identifier><identifier>PMID: 12066735</identifier><identifier>CODEN: BJANAD</identifier><language>eng</language><publisher>Oxford: Oxford University Press</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Bed Occupancy - statistics & numerical data ; Biological and medical sciences ; Child ; Child, Preschool ; Critical Care - organization & administration ; Emergency and intensive care: techniques, logistics ; Female ; Hospital Mortality ; Hospital Units - organization & administration ; Humans ; Infant ; Intensive care medicine ; Intensive care unit. Emergency transport systems. Emergency, hospital ward ; Israel ; Length of Stay - statistics & numerical data ; Male ; Medical sciences ; Middle Aged ; Postoperative Care - statistics & numerical data ; Prospective Studies</subject><ispartof>British journal of anaesthesia : BJA, 2002-04, Vol.88 (4), p.577-579</ispartof><rights>2002</rights><rights>2002 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c387t-be4cf70e51bcecf221b35f7917726d910754cce0570974fe48eea44e37bda1ba3</citedby><cites>FETCH-LOGICAL-c387t-be4cf70e51bcecf221b35f7917726d910754cce0570974fe48eea44e37bda1ba3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=13592846$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12066735$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ziser, A.</creatorcontrib><creatorcontrib>Alkobi, M.</creatorcontrib><creatorcontrib>Markovits, R.</creatorcontrib><creatorcontrib>Rozenberg, B.</creatorcontrib><title>The postanaesthesia care unit as a temporary admission location due to intensive care and ward overflow</title><title>British journal of anaesthesia : BJA</title><addtitle>Br. J. Anaesth</addtitle><addtitle>Br J Anaesth</addtitle><description>Background. With the increasing number of critically ill patients, and shortage of intensive care unit and ward beds, some postoperative patients stay for an unnecessarily long period in the postanaesthesia care unit (PACU), until a suitable bed is available.
Methods. We prospectively studied this patient overflow admission to the PACU over 33 months. Four hundred patients with a mean age of 53.1 yr (range 0.2–94) were studied. Two hundred and eighty one (70.3%) patients were mechanically ventilated on admission to the PACU and 311 (77.8%) had invasive monitoring. Mean length of stay in the PACU was 12.9 (sd 10.6) h.
Results. The busiest hours of admission were 01–11 am. Eighteen (4.5%) patients died in the PACU, while waiting for an intensive care unit bed. The main problems were insufficient medical and nursing coverage, and inadequate communication and visiting facilities for patient’s families.
Conclusion. Patient overflow to the PACU is a common problem that requires attention. Guidelines for medical and nursing coverage, patient triage, and communication with relatives need to be outlined.
Br J Anaesth 2002; 88: 577–9</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Bed Occupancy - statistics & numerical data</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Critical Care - organization & administration</subject><subject>Emergency and intensive care: techniques, logistics</subject><subject>Female</subject><subject>Hospital Mortality</subject><subject>Hospital Units - organization & administration</subject><subject>Humans</subject><subject>Infant</subject><subject>Intensive care medicine</subject><subject>Intensive care unit. Emergency transport systems. Emergency, hospital ward</subject><subject>Israel</subject><subject>Length of Stay - statistics & numerical data</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Postoperative Care - statistics & numerical data</subject><subject>Prospective Studies</subject><issn>0007-0912</issn><issn>1471-6771</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp90D1PxDAMBuAIgeA42JhRFmChd0mb1u2IEF8SEssxR27qQlGvKUkL4t-TUyuxMcXDYzt-GTuTYiVFkazLD1zn-UqtUoA9tpAKZJQByH22EEJAJAoZH7Fj7z-EkBAX6SE7krHIMkjSBXvbvBPvrR-wQ_LDO_kGuUFHfOyagaPnyAfa9tah--FYbRvvG9vx1hocdkU1Eh8sb7qBOt980dSMXcW_0VXcfpGrW_t9wg5qbD2dzu-Svd7fbW4fo-eXh6fbm-fIJDkMUUnK1CAolaUhU8exLJO0hkICxFlVSAGpMoZECqIAVZPKiVApSqCsUJaYLNnlNLd39nMMF-nwY0Ntix3Z0WuQucySAgK8nqBx1ntHte5dsw1Hain0LlgdgtV5rpUOwQZ-Ps8dyy1Vf3hOMoCLGaA32NYOO9P4P5ekRZyrLLirydmx_3_lL-u4j1I</recordid><startdate>20020401</startdate><enddate>20020401</enddate><creator>Ziser, A.</creator><creator>Alkobi, M.</creator><creator>Markovits, R.</creator><creator>Rozenberg, B.</creator><general>Oxford University Press</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20020401</creationdate><title>The postanaesthesia care unit as a temporary admission location due to intensive care and ward overflow</title><author>Ziser, A. ; Alkobi, M. ; Markovits, R. ; Rozenberg, B.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c387t-be4cf70e51bcecf221b35f7917726d910754cce0570974fe48eea44e37bda1ba3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Bed Occupancy - statistics & numerical data</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Critical Care - organization & administration</topic><topic>Emergency and intensive care: techniques, logistics</topic><topic>Female</topic><topic>Hospital Mortality</topic><topic>Hospital Units - organization & administration</topic><topic>Humans</topic><topic>Infant</topic><topic>Intensive care medicine</topic><topic>Intensive care unit. Emergency transport systems. Emergency, hospital ward</topic><topic>Israel</topic><topic>Length of Stay - statistics & numerical data</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Postoperative Care - statistics & numerical data</topic><topic>Prospective Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ziser, A.</creatorcontrib><creatorcontrib>Alkobi, M.</creatorcontrib><creatorcontrib>Markovits, R.</creatorcontrib><creatorcontrib>Rozenberg, B.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>British journal of anaesthesia : BJA</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ziser, A.</au><au>Alkobi, M.</au><au>Markovits, R.</au><au>Rozenberg, B.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The postanaesthesia care unit as a temporary admission location due to intensive care and ward overflow</atitle><jtitle>British journal of anaesthesia : BJA</jtitle><stitle>Br. J. Anaesth</stitle><addtitle>Br J Anaesth</addtitle><date>2002-04-01</date><risdate>2002</risdate><volume>88</volume><issue>4</issue><spage>577</spage><epage>579</epage><pages>577-579</pages><issn>0007-0912</issn><eissn>1471-6771</eissn><coden>BJANAD</coden><abstract>Background. With the increasing number of critically ill patients, and shortage of intensive care unit and ward beds, some postoperative patients stay for an unnecessarily long period in the postanaesthesia care unit (PACU), until a suitable bed is available.
Methods. We prospectively studied this patient overflow admission to the PACU over 33 months. Four hundred patients with a mean age of 53.1 yr (range 0.2–94) were studied. Two hundred and eighty one (70.3%) patients were mechanically ventilated on admission to the PACU and 311 (77.8%) had invasive monitoring. Mean length of stay in the PACU was 12.9 (sd 10.6) h.
Results. The busiest hours of admission were 01–11 am. Eighteen (4.5%) patients died in the PACU, while waiting for an intensive care unit bed. The main problems were insufficient medical and nursing coverage, and inadequate communication and visiting facilities for patient’s families.
Conclusion. Patient overflow to the PACU is a common problem that requires attention. Guidelines for medical and nursing coverage, patient triage, and communication with relatives need to be outlined.
Br J Anaesth 2002; 88: 577–9</abstract><cop>Oxford</cop><pub>Oxford University Press</pub><pmid>12066735</pmid><doi>10.1093/bja/88.4.577</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Adult Aged Aged, 80 and over Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Bed Occupancy - statistics & numerical data Biological and medical sciences Child Child, Preschool Critical Care - organization & administration Emergency and intensive care: techniques, logistics Female Hospital Mortality Hospital Units - organization & administration Humans Infant Intensive care medicine Intensive care unit. Emergency transport systems. Emergency, hospital ward Israel Length of Stay - statistics & numerical data Male Medical sciences Middle Aged Postoperative Care - statistics & numerical data Prospective Studies |
| title | The postanaesthesia care unit as a temporary admission location due to intensive care and ward overflow |
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