Surgical Anesthesia Center, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, No. 107, Yanjiang West Road, Yuexiu District, Guangzhou, Guangdong 510120, China.
J Healthc Eng. 2021 Oct 25;2021:5906855. doi: 10.1155/2021/5906855. eCollection 2021.
To study the effect of a care bundle combined with continuous positive airway pressure (CPAP) in the postanesthesia care unit (PACU) on rapid recovery after pulmonary tumor resection.
A total of 135 patients requiring anesthesia resuscitation after pulmonary tumor resection in our hospital from June 2020 to February 2021 were selected. They were randomly divided into three groups: the PACU experimental group, PACU control group, and operating room resuscitation (OR) group. Subsequently, their intraoperative clinical symptoms, parameters in monitoring postoperative respiratory status, and follow-up results were compared among the three groups.
The PACU experimental group had the highest number of right lesions, while the OR group had the highest intraoperative blood transfusion volume, urine volume, intraoperative colloid volume, intrapulmonary shunt, and intraoperative physician handover rate ( < 0.05). Before surgery, serum potassium (K) in the PACU experimental group was significantly higher than that in the OR group but lower than that in the PACU control group ( < 0.01). During the time in the PACU, blood partial pressure of oxygen (PO) and oxygen index (OI) levels in the PACU experimental group were significantly higher than those in the other groups ( < 0.01). After surgery, total PACU stay time, time from PACU to extubation, and stay after extubation were markedly reduced in the PACU experimental group ( < 0.05). The highest number of patients with drainage was found in the PACU experimental group, while the highest number of patients without drainage was found in the PACU control group.
A care bundle combined with CPAP in the PACU can improve the monitoring time of respiratory status and improve blood gas parameters, thus accelerating the postoperative rehabilitation process of patients undergoing pulmonary tumor resection.
研究麻醉后复苏护理包联合持续气道正压通气（CPAP）在 PACU 对肺肿瘤切除术后快速康复的影响。
选取我院 2020 年 6 月至 2021 年 2 月行麻醉复苏的肺肿瘤切除术患者 135 例，随机分为 PACU 实验组、PACU 对照组和手术室复苏（OR）组，比较三组患者术中临床症状、术后呼吸状态监测参数及随访结果。
PACU 实验组右侧病变例数最多，OR 组术中输血量、尿量、术中胶体量、肺内分流和术中医生交接率最高（<0.05）。PACU 实验组术前血清钾（K）水平明显高于 OR 组，低于 PACU 对照组（<0.01）。PACU 期间，PACU 实验组的血氧分压（PO）和氧指数（OI）明显高于其他组（<0.01）。手术后，PACU 实验组的总 PACU 停留时间、PACU 到拔管时间、拔管后停留时间明显缩短（<0.05）。PACU 实验组的引流患者人数最多，PACU 对照组的无引流患者人数最多。
PACU 中护理包联合 CPAP 可改善呼吸状态监测时间，改善血气参数，从而加速肺肿瘤切除术后患者的康复进程。
