Symptoms, surgical events, and length of stay of surgical oncology outpatients Journal Article
| Authors: | Bloom, L.; Mazzella, A.; Flynn, J.; Panageas, K. |
| Article Title: | Symptoms, surgical events, and length of stay of surgical oncology outpatients |
| Abstract: | Purpose: This study examined the incidence of postanesthesia symptoms, postoperative events, and length of stay (LOS) for surgical oncology outpatients in Phase II recovery during three time periods: before, one-month post, and one-year after the implementation of revised PACU I to PACU II transfer procedures and discharge criteria. Design: Data for this retrospective analysis was obtained from the organizations’ electronic medical records during the timeframe April 3, 2017 through August 5, 2018 after enhanced PACU I to PACU II transfer procedures were implemented on June 5, 2017. Records of surgical outpatients transferred from PACU I to PACU II who received regional pain control or preoperative anti–emetics were excluded from the analysis. Methods: Study approval was obtained through the Institutional Review Board [#19-308]. The records [n = 1091] were sorted and analyzed according to symptoms, events, and length of recovery. Incidence of symptoms, use of IV fluids, and medications administered in PACU II was tabulated for each time-period. Kruskal-Wallis tests were used to detect differences in length of stay variables across the three time periods. Findings: A significant decrease in PACU II LOS was observed following the implementation of revised PACU I to PACU II transfer criteria (P<.001). Although blood pressure changes decreased between each time period: 1.4% (T-1), 0.3% (T-2), and 0.2% (T-3), postanesthesia symptoms [dizziness, pain, and nausea] decreased from T-1 to T-2, with a small increase in T-3. The use of fentanyl and continuous IV fluids decreased between all time periods. Conclusions: Monitoring key variables related to patient outcomes involving LOS and symptom management ensures sustained practice changes, improves care, and optimizes surgical outpatient experience. © 2021 American Society of PeriAnesthesia Nurses |
| Keywords: | retrospective studies; retrospective study; length of stay; outpatient; anesthetic recovery; postoperative pain; pain, postoperative; outpatients; surgical oncology; humans; human; anesthesia recovery period; surgical oncologypostanesthesia care unitphase i recovery-pacu iphase ii recovery-pacu ii |
| Journal Title: | Journal of PeriAnesthesia Nursing |
| Volume: | 37 |
| Issue: | 2 |
| ISSN: | 1089-9472 |
| Publisher: | Elsevier Science, Inc. |
| Date Published: | 2022-04-01 |
| Start Page: | 204 |
| End Page: | 209 |
| Language: | English |
| DOI: | 10.1016/j.jopan.2021.04.004 |
| PUBMED: | 35067410 |
| PROVIDER: | scopus |
| PMCID: | PMC9392871 |
| DOI/URL: | |
| Notes: | Article -- Export Date: 25 April 2022 -- Source: Scopus |
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