Perioperative medicine & outcomes
Bypassing the post‐anaesthesia care unit after elective hip and knee arthroplasty: a prospective cohort safety study
An erratum to this article was published (Anaesthesia, May 2023 ↗)
Authors' conclusion
The use of simple pragmatic criteria for bypassing the post-anaesthesia care unit for patients undergoing knee and hip arthroplasty with spinal anaesthesia is possible and associated with significant reduction of post-anaesthesia care unit admission and without apparent safety issues.
Study context
- Population
- Patients undergoing elective hip and knee arthroplasty (THA, TKA, unicompartmental knee arthroplasty) with spinal anaesthesia and multimodal analgesia without peripheral nerve blockadesingle centre
- Participants
- 696 patients
- Exposure
- Bypassing the PACU vs PACU admission, using pragmatic bypass criteria
- Wardn = 207
- Outcome
- Number of patients needing secondary readmission to the PACU
Methodological detailssingle-centre, Bypass criteria: ASA physical status < 3; peri-operative bleeding < 500 ml; low modified Aldrete score; uncomplicated surgical and neuraxial anaesthesia procedure
- Single-centre
- Bypass criteria: ASA physical status < 3; peri-operative bleeding < 500 ml; low modified Aldrete score; uncomplicated surgical and neuraxial anaesthesia procedure
Main finding
As reported in the abstract
Secondary readmission to the PACU
Ward
1
events
Observational data: associations, not effects.
Safety
Events within 24 h
Events
| Outcome | Ward | PACU |
|---|---|---|
| Events within 2 h of surgery | 2 | 2 |
- Events within 24 h — Total events reported
- 151
- Events within 24 h: % of all 151 events
Complications attributed to bypassing the PACU
- No complications attributed to bypassing the PACU
Original publication
Bypassing the post‐anaesthesia care unit after elective hip and knee arthroplasty: a prospective cohort safety study. Anaesthesia. Published 15 September 2022. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →