Knoerl D V, McNulty P, Estes C, Conley K
Naval Medical Center San Diego, San Diego, CA 92134-1005, USA.
J Perianesth Nurs. 2001 Feb;16(1):11-8. doi: 10.1053/jpan.2001.18203.
Discharge readiness from a Phase I PACU after spinal anesthesia is frequently determined by recovery of sensory/motor function. However, no data exist indicating that recovery of sensory/motor function adequately predicts hemodynamic stability after spinal anesthesia. The conservative practice of waiting until the sensory/motor effects of spinal anesthesia have completely worn off often requires patients to remain in PACU for prolonged periods of time. The purpose of this study was to determine the safety and efficacy of using orthostatic blood pressure (BP) testing as a discharge criterion from PACU after spinal anesthesia. This study used a prospective, descriptive design to measure changes in mean arterial pressure (MAP) during orthostatic BP testing at 30-minute intervals after admission to the PACU following spinal anesthesia. A convenience sample of 121 patients admitted through the Same Day Surgery (SDS) unit was used. Results show that orthostatic BP criterion was safe and effective as an alternative to sensory/motor criteria in assessing hemodynamic stability and reducing the amount of time patients spend in the PACU after spinal anesthesia. This is a U.S. government work. There are no restrictions on its use.
脊髓麻醉后从I期麻醉后护理单元（PACU）出院的准备情况通常由感觉/运动功能的恢复来决定。然而，没有数据表明感觉/运动功能的恢复能充分预测脊髓麻醉后的血流动力学稳定性。保守的做法是等到脊髓麻醉的感觉/运动效应完全消失，这往往要求患者在PACU停留较长时间。本研究的目的是确定使用直立位血压（BP）测试作为脊髓麻醉后从PACU出院标准的安全性和有效性。本研究采用前瞻性描述性设计，在脊髓麻醉后进入PACU后，每隔30分钟测量一次直立位BP测试期间的平均动脉压（MAP）变化。使用了通过同日手术（SDS）单元收治的121例患者的便利样本。结果表明，在评估血流动力学稳定性和减少脊髓麻醉后患者在PACU的停留时间方面，直立位BP标准作为感觉/运动标准的替代方法是安全有效的。这是美国政府的工作。其使用没有限制。
