'Organisation of delivery of care in operating suite recovery rooms within 48 hours postoperatively and patient outcomes after adult non-cardiac surgery: a systematic review'

Introduction of a Post-Anaesthesia Care Unit in a Teaching Hospital Is Associated with a Reduced Length of Hospital Stay in Noncardiac Surgery: A Single-Centre Interrupted Time Series Analysis

BACKGROUND

A post-anaesthesia care unit (PACU) may improve postoperative care compared with intermediate care units (IMCU) due to its dedication to operative care and an individualized duration of postoperative stay. The effects of transition from IMCU to PACU for postoperative care following intermediate to high-risk noncardiac surgery on length of hospital stay, intensive care unit (ICU) utilization, and postoperative complications were investigated.

METHODS

This single-centre interrupted time series analysis included patients undergoing eleven different noncardiac surgical procedures associated with frequent postoperative admissions to an IMCU or PACU between January 2018 and March 2019 (IMCU episode) and between October 2019 and December 2020 (PACU episode). Primary outcome was hospital length of stay, secondary outcomes included postoperative complications and ICU admissions.

RESULTS

In total, 3300 patients were included. The hospital length of stay was lower following PACU admission compared to IMCU admission (IMCU 7.2 days [4.2-12.0] vs. PACU 6.0 days [3.6-9.1]; p < 0.001). Segmented regression analysis demonstrated that the introduction of the PACU was associated with a decrease in hospital length of stay (GMR 0.77 [95% CI 0.66-0.91]; p = 0.002). No differences between episodes were detected in the number of postoperative complications or postoperative ICU admissions.

CONCLUSIONS

The introduction of a PACU for postoperative care of patients undergoing intermediate to high-risk noncardiac surgery was associated with a reduction in the length of stay at the hospital, without increasing postoperative complications.

Perioperative Nursing of Vitrectomy for Ocular Trauma under the Guidance of Ophthalmoscope

To explore the perioperative nursing methods and clinical effects of vitrectomy under ophthalmoscope in the treatment of severe ocular rupture, this study reviews the clinical effects of vitrectomy in the treatment of severe ocular trauma in China, analyzes the perioperative nursing of vitrectomy for ocular trauma under the guidance of an ophthalmoscope, and analyzes the importance of stage I debridement and suture, the choice of operation time, and the advantages of vitrectomy and perioperative nursing care. The retrospective analysis of these data shows that the clinical effect of peri-vitrectomy for ocular trauma under the guidance of an ophthalmoscope is accurate, and surgical treatment should be carried out as soon as possible according to the patient's condition, which can reduce the complications of suppurative ophthalmitis, eyeball atrophy, and vitreous rebleeding. Perioperative nursing intervention is beneficial to the recovery of visual acuity in patients with severe ocular rupture treated by vitrectomy under the ophthalmoscope, which is worthy of clinical promotion.