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Understanding Post Anesthesia Care Unit (PACU)

Apr 23, 2025

Post Anesthesia Care Unit (PACU)

Introduction

  • Purpose: To provide care after surgery, ensuring recovery post-anesthesia.
  • Care Team: Includes nurses, anesthesiologists, and support staff trained for post-surgical care.
  • Process Upon Arrival:
    • Receive surgery details and medical history.
    • Conduct a physical assessment.
    • Use monitors: blood pressure cuff, EKG, and pulse oximeter.
    • Check dressings and administer pain control as necessary.
  • Discharge:
    • Transfer to room or Pre-Surgical Admissions for further instructions.

Frequently Asked Questions (FAQ)

  1. What is PACU?
    • Post Anesthesia Care Unit for patients post-surgery.
    • Attached to OR suites, managing recovery from various anesthesia types.
  2. Communication with Nurses:
    • Report pain (0-10 scale) and any nausea.
    • Nurses frequently reassess pain levels.
  3. Post-Surgery Feelings:
    • Normal to feel discomfort, sleepiness, dizziness, or forgetfulness.
    • Communication with nurse/anesthesiologist is crucial.
  4. Family Visitation:
    • At nurse and physician discretion; varies by procedure.
  5. Duration of PACU Stay:
    • Depends on surgery type, medical needs, and physician's judgment.
    • May be prolonged due to conditions like sleep apnea or medication effects.
  6. Devices (CPAP/AICD):
    • Devices like CPAP, insulin/pain pumps accompany you post-PACU.
    • Implanted devices reactivated before leaving PACU.
  7. Pre-Discharge Information:
    • Receive discharge instructions reviewed with family/friends.
    • Includes activity, diet restrictions, medications, and follow-up care.
  8. Family Visits in PACU:
    • Permitted once vital signs stabilize.
  9. Pain Medication Prescriptions:
    • Managed by anesthesiologists and surgical team.
  10. Nausea Prevention:
    • Anti-emetics administered; different types used if necessary.
  11. Post-PACU Destination:
    • Depends on procedure specifics and bed availability.

Staff

  • Comprised of skilled nurses, anesthesiologists, and support services, ensuring comprehensive care in PACU.