Goodchild C S
University Department of Anaesthesia, General Infirmary, Leeds.
Anaesthesia. 1988 Oct;43(10):829-32.
Postoperative recovery rooms have been used in the United Kingdom for just over 30 years. Anaesthetic and surgical practices have improved during this time but the clinical problems encountered are unchanged essentially. Several surveys have reviewed complications that occur; the most common causes of postoperative morbidity and mortality are still cardiovascular and respiratory problems, the latter particularly of the upper airway. In contrast there are no data available on the standard of staff and equipment in recovery rooms. The results of a survey of this aspect of postoperative recovery rooms in hospitals in Wessex, North West Thames and Yorkshire Regional Health Authorities are reported. Particular effort was made to define the facilities available. The results indicate that 70% of hospitals do not provide staffing levels and facilities which meet recommendations of the Association of Anaesthetists of Great Britain and Ireland. The implications of these findings with regard to anaesthetic morbidity and mortality are discussed.
术后恢复室在英国已经使用了30多年。在此期间,麻醉和外科手术方法有所改进,但所遇到的临床问题本质上并无变化。几项调查回顾了所发生的并发症;术后发病和死亡的最常见原因仍然是心血管和呼吸系统问题,后者尤其以上呼吸道问题为主。相比之下,关于恢复室工作人员和设备标准的资料却没有。本文报告了对韦塞克斯、泰晤士河西北地区和约克郡地区卫生局所属医院术后恢复室这方面情况的一项调查结果。我们特别努力地确定了现有设施。结果表明,70%的医院所提供的人员配备水平和设施未达到大不列颠及爱尔兰麻醉师协会的建议标准。本文讨论了这些调查结果对麻醉相关发病和死亡情况的影响。