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At least 307 records · Page 17Linked to original sources
PubMed1996

[Evaluation of direct theoretical cost of passage in anesthesia recovery room].

OBJECTIVE: To assess the direct cost of a stay in a postanaesthesia care unit (PACU). STUDY DESIGN: Standard cost study based on information gathered from staff and suppliers in accordance with government regulations and recommendations. Results reviewed by a group of anaesthesists. TYPE OF PACU: PACU working in ideal conditions with optimal safety conditions for and accommodation surgical patients). METHOD: Estimation of three cost components: 1) depreciation and maintenance costs of equipment, 2) physician and other staff wages, and 3) variable costs such as drugs and disposable devices. We computed an annual budget for three PACU which was defined according to size (4, 8 or 12 beds) and working hours. RESULTS: Fixed annual costs (staff and equipment) were 1,134,938 FF for a 4 bed room: 3,820,339 FF for an 8 bed room: and 6,481,792 FF for a 12 bed room. Variable costs per stay were 75,43 FF. The cost of a stay in an 8 bed PACU based on a rate of 3,500 stays per year therefore was 1,167 FF (87.0% for staff, 6.6% for equipment, 6.4% for variable costs).

Cost of Illness↗
PubMed1998

[Bacteria isolated from protected bronchopulmonary samples: variation as a function of the previous length of stay in the recovery room].

We retrospectively reviewed the variation of the organisms recovered from 403 protected bronchopulmonary specimens in three surgical intensive care units according to the time elapsed from admission. The predominant pathogens during the four first days were Haemophilus influenzae (33.3%), Staphylococcus aureus (18.2%), mostly methicillin susceptible strains, and Streptococcus pneumoniae (14.3%). After the fourth day, they were progressively replaced by typical nosocomial bacteria such as methicillin resistant Staphylococcus aureus, Pseudomonas aeruginosa and Acinetobacter baumannii. For Pseudomonas aeruginosa and cephalosporinase-producing Enterobacteriaceae, strains resistant to third generation cephalosporins occurred significantly later than the susceptible strains. These results indicate that the time elapsed from intensive care unit admission has a major influence on the bacteriology of respiratory tract infections, but no clear cut-off point between early-onset and late onset pneumonia is evident.

Bacteria↗
PubMedDate not supplied

[Prevalence of HIV antibody carriers in patients assisted in the recovery room].

A study has been performed on 200 patients at the Recovery Department of our hospital during 1987. This study was carried out in order to determine patients with human immunodeficiency virus (HIV) antibody. This group was randomized and consisted of 154 men and 46 women, with an average age of 35.6 +/- 3.9, a total weight of 68 +/- 6 kg and a height of 1.69 +/- 0.2 m. The day entered at the Recovery Department we assessed the following parameters: a) addiction to drugs by parenteral way; b) bleeding; c) invasive procedures; d) etiology, and e) blood samples were drawn for plasma antibody to HIV. We detected five patients (2.5%) with antibody anti-HIV and all of these patients were male and they were aged in 20-39 years old. We noticed a close relation between addiction to drugs and HIV (p less than 0.001), nevertheless no relation has been found between invasive procedures, bleeding, etiology and antibody to HIV. We conclude that the number of patients that we detected with antibody from the HIV is similar to those found by other studies that has been carried out in emergency situation, but greater than those found in the screening of the general population.

Acquired Immunodeficiency Syndrome↗
PubMed2004

Does the provision of pre-prepared morphine solution alter the administration of opioids to patients in the recovery room?

The provision of immediate postoperative analgesia using titrated intravenous opioid is widespread. Protocols requiring two nurses to sign out, check and draw up opioid solutions are time-consuming and might act as a bar to the prompt provision of analgesia. One hundred and five patients were randomly assigned to one of three groups. Prepared morphine solution 10 mg (Group Ten) or 5 mg (Group Five) or no syringe (Group Zero) accompanied the patient to the post anaesthesia care unit. Nursing staffs were unaware of the trial. The likelihood of receiving morphine was actually higher in Group Zero than in Groups Five and Ten but not significantly different (relative risk 1.4, 95% confidence intervals 0.8-2.4). The dose of morphine administered was not significantly different between the groups. Provision of pre-prepared opioid solution did not increase either the frequency of morphine administration or the dose in this study.

Adult↗