Kilian J, Ahnefeld F W, Falk H
Anasth Intensivther Notfallmed. 1981 Apr;16(2):107-11.
Postanaesthetic observation and control of the patient, independently of surgery, is an integral part of the anaesthetic course. The anaesthetic procedure is terminated in the recovery room only, where all negative effects of anaesthesia and surgery or their sequels can be properly assessed and eliminated. After restoration of vital functions and protective reflexes only the patient may be transferred to normal wards or intensive care units for further control of his postoperative condition. Following long-term surgery, and in any high-risk case in general, postoperative mechanical ventilation or application of continuous positive airway pressure (CPAP) can reduce the incidence of respiratory complications. The additional and extensive therapeutic and diagnostic tasks to be covered in the recovery room call for special consideratons in equipping and staffing. Adequately trained nurses in sufficient number, respiratory devices covering any mode of ventilation and an emergency laboratory are indispensable prerequisites for proper function. Only then the anaesthesiologist will be able to satisfactorily perform his comprehensive task of providing stable vital functions, preoperatively in establishing the state of operability, intraoperatively by corrective therapy and postoperatively until anaesthetic effects and surgical trauma have subsided.
术后对患者的观察和管理，独立于手术之外，是麻醉过程中不可或缺的一部分。麻醉程序仅在恢复室结束，在那里可以对麻醉和手术的所有负面影响或其后续影响进行适当评估和消除。只有在生命功能和保护性反射恢复后，患者才能被转移到普通病房或重症监护病房，以便进一步控制其术后状况。对于长期手术以及一般的任何高风险病例，术后机械通气或应用持续气道正压通气（CPAP）可降低呼吸并发症的发生率。恢复室需要承担的额外且广泛的治疗和诊断任务，在设备配备和人员配置方面需要特别考虑。足够数量的经过充分培训的护士、涵盖任何通气模式的呼吸设备以及一个应急实验室是正常运转的必备前提条件。只有这样，麻醉医生才能令人满意地完成其全面任务，即在术前确定可手术状态时提供稳定的生命功能，术中通过纠正治疗，术后直到麻醉效果和手术创伤消退。
