Hypoxemic events during the post-anesthesia recovery period, postoperative Nausea and Vomiting (PONV)
Conditions
Interventions
Supine positioning group:0° (flat supine) positioning during PACU stay.
This study was conducted in two independent PACU units (Phase I and Phase II) within the operating room. Each PACU unit served a
30° semi-recumbent positioning group:30° semi-recumbent positioning throughout PACU stay.
This study was conducted in two independent PACU units (Phase I and Phase II) within the operating room. Each
Sponsors
The First Affiliated Hospital of Soochow University
Eligibility
Sex/Gender
All
Age
18 Years to 80 Years
Inclusion criteria
Inclusion criteria: 1. Age 18-80 years; 2. ASA grade I-IV; 3. All postoperative patients transferred to the PACU after general anesthesia with endotracheal intubation/laryngeal mask for elective/emergency surgery, including those who require extubation in the PACU or those who have already had the endotracheal tube/laryngeal mask removed in the operating room, regardless of length of stay or final destination (ward, ICU, second surgery); 4. Prespecified secondary analysis: high-risk population for PONV (Apfel score >= 3).
Exclusion criteria
Exclusion criteria: 1.Prior tracheostomy or requiring postoperative endotracheal intubation; 2.Contraindications to semi-recumbent positioning or whose surgeons determine that continuous supine/prone positioning is required, including those following spinal surgery, pelvic surgery, posterior approach craniotomy, nephrostomy, and flap transplantation; 3.Severe cognitive impairment or inability to cooperate with positioning requirements; 4.Severe hemodynamic instability upon PACU admission (systolic blood pressure < 90 mmHg and requiring continuous intravenous vasopressor infusion), or those transferred to ICU or returned to the operating room without completing extubation in PACU;
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Hypoxemic events during anesthesia emergence; | — |
Secondary
| Measure | Time frame |
|---|---|
| PACU length of stay;Severe hypoxemic events; | — |
Countries
China
Contacts
Public ContactKe Peng
The First Affiliated Hospital of Soochow University
Outcome results
None listed