Optimal Postanesthesia Care Time in Pediatric Undergoing Eye Examination under Anesthesia
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Abstract
Background: Two principles criterion that include Criteria
Based Discharge (CBD) and Time Based Discharged
(TBD), have been used for evaluating patient before
discharging them safely from PACU. Both criterions must
be met as an anesthesia department’s policy, which spend
at least one hour to complete these actions. However,
many studies found the discrepancy of time using CBD
and TBD in order to reduce PACU congestion in particular
type of anesthesia and surgery. Therefore, an average
PACU time compare between CBD and TBD, an also
associated factors that caused prolong PACU time and
complications were investigated in pediatric patients
underwent eye examination under anesthesia.
Method: This was a retrospective study, and 223 medical
records of pediatric outpatients who underwent eye
examination under anesthesia were included. The data
were collected including; patient’s characteristic, time to
meet PACU discharge criteria (CBD) using Modified
Aldrete Score and Post Anesthesia Discharge Scoring
System (PADSS), Time Based discharge (TBD) and
complications. Univariate and multivariate statistical anaylsis were used for comparing various parameters between
CBD and TBD.
Result: Our study found the mean CBD time of 34.08+14.4
minutes and the mean TBD time of 60+0.87 minutes with
P-value= 0.000. Female gender was slower recovery than
male and no severe postoperative complications were
evidence.
Conclusion: Criteria Based Discharge is an effective and
safe method to discharge pediatric outpatient who
undergoing eye examination under anesthesia from PACU
as a result of decreasing time spends in PACU and
manage PACU resource effectively
Article Details
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