This paper discusses airway management in the post anaesthetic care unit (PACU). Many patients will be extubated on arrival to the PACU, however a small number will need further support with tracheal intubation. Patient assessment is a key role for the PACU staff and using the ABCDE approach will provide a systematic method for assessing the patient and determining suitability for extubation. Care of the patient following extubation is also described.
Association of Anaesthetists of Great Britain & Ireland2002Immediate Postanaesthetic RecoveryLondon, The Association of Anaesthetists of Great Britain and Ireland
2.
Association of Anaesthetists of Great Britain & Ireland2005Anaesthesia TeamLondon, The Association of Anaesthetists of Great Britain and Ireland
3.
BuistM., BernardS., NguyenT.V., MooreG., AndersonJ.2004Association between clinically abnormal observations and subsequent in-hospital mortality: a prospective studyResuscitation62(2) 137–141
4.
CarberyC.2008Basic concepts in mechanical ventilationJournal of Perioperative Practice18(3) 106–115
5.
KumarP., ClarkM.2005Clinical Medicine (6th edn) London, Elsevier Saunders
6.
McBrideJ., KnightD., PiperJ., SmithG.2005Long-term effects of introducing an early warning score on respiratory rate charting on general wardsResuscitation65(1) 41–44
NgA., SmithG.2001Gastroesophageal reflux and aspiration of gastric contents in anesthetic practiceAnesthesia & Analgesia93(2) 494–513
9.
NolanJ.P., DeakinC.D., SoarJ., BottigerB.W., SmithG.2005European Resuscitation Council European Resuscitation Council guidelines for resuscitation 2005. Section 4. Adult advanced life supportResuscitation67 Suppl 1: S39–86
10.
PerelP., RobertsI.1997Colloids versus crystalloids for fluid resuscitation in critically ill patientsCochrane Database of Systematic Reviews Issue 4
11.
SmithG.B., OsgoodV.M., CraneS.2002ALERT – a multiprofessional training course in the care of the acutely ill adult patientResuscitation52(3) 281–286
12.
VisvanathanT., KlugerM.T., WebbR.K., WesthorpeR.N.2005Crisis management during anaesthesia: laryngospasmQuality & Safety in Health Care14(3) 2–5
13.
YentisS.M., HirschN.P., SmithG.B.2004Anaesthesia and Intensive Care A-Z: An Encyclopaedia of Principles and Practice (3rd Edition) London, Butterworth Heinemann