Postoperative care after pulmonary resection: Postanesthesia care unit versus intensive care unit Journal Article
| Authors: | Pedoto, A.; Heerdt, P. M. |
| Article Title: | Postoperative care after pulmonary resection: Postanesthesia care unit versus intensive care unit |
| Abstract: | Purpose of review In an effort to maximize resource utilization and contain costs, immediate postoperative care after noncardiac thoracic surgery is often done in either the postanesthesia care unit or dedicated step down units, leaving the ICU for complex surgical cases, overtly high-risk patients, or the treatment of severe postoperative complications. This review analyzes the current modalities affecting length of stay and costs, mainly by allocating patients after elective lung resection to different postoperative areas according to their needs. Recent findings Several surgical models have been published in recent years with the goal of optimizing perioperative patient care and subsequently decreasing hospital costs and length of stay. The main focus has been on elective lung resection for lung cancer. Preoperative evaluation, changes in surgical and anesthetic techniques as well as careful planning on where to recover these patients seem to make a clinical and financial impact. Summary The development of models to help predict elective ICU admission should facilitate optimal care, cutting costs and shortening length of stay after lung resection. © 2009 Wolters Kluwer Health|Lippincott Williams & Wilkins. |
| Keywords: | surgical technique; review; treatment planning; postoperative care; preoperative care; lung resection; risk factors; lung cancer; risk factor; intensive care; postoperative complication; postoperative complications; intensive care unit; hospitalization; intensive care units; lung; intermethod comparison; cost of illness; postanesthesia care unit; step down unit; anesthesiological techniques; recovery room; anesthesia |
| Journal Title: | Current Opinion in Anaesthesiology |
| Volume: | 22 |
| Issue: | 1 |
| ISSN: | 0952-7907 |
| Publisher: | Lippincott Williams & Wilkins |
| Date Published: | 2009-02-01 |
| Start Page: | 50 |
| End Page: | 55 |
| Language: | English |
| DOI: | 10.1097/ACO.0b013e32831d7b25 |
| PUBMED: | 19295292 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | --- - "Cited By (since 1996): 3" - "Export Date: 30 November 2010" - "CODEN: COAEE" - "Source: Scopus" |
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