Postanesthetic care in the critical care unit.
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Biomedical subjects
Publications and source records attributed to Claudia P Barone.
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Advances in transplantation immunology management have contributed to more frequent transplants and better long-term graft survival. Nurses must consider many issues facing the transplant recipient such as medication management, infection prevention, chronic disease management, fluid balance, urine output, and the many psychological issues that surround receiving a transplant. Important guidelines of care of complex transplant patients in the postoperative period are provided.
The specialized intense nursing care provided in the PACU is now well recognized as crucial to optimize outcomes for the patient undergoing modern anesthesia and surgical techniques. However, this fact has not always been recognized. Although anesthetic techniques have evolved since the mid-1800s, the widespread establishment of PACUs only began about 50 years ago, shortly after World War II. This article provides an historical review of the development of the PACU in the United States.
Renal transplantation is the most common type of solid organ transplant performed in this country. For the PACU nurse, the immediate postoperative care of a renal transplant recipient can present a very unique and interesting challenge. Like all patients arriving to the PACU, the initial assessment of an immediate postoperative renal transplant recipient should first address the routine postsurgical concerns of airway, respiration, and hemodynamics. Most renal transplant programs have set protocols for the care required during the immediate posttransplant stay in the PACU. The postanesthesia nurse caring for these patients must become knowledgeable of these protocols. The following is a review of the immediate postanesthesia care for both the "fresh" renal transplant and the care of the long-term renal transplant recipient who has had surgery.
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