Altered Mental Status, Chest Pain, Hypotension, Hypoxemia, Urine Output Low
Conditions
Brief summary
The purpose of this observational research study is to examine how point-of care ultrasound affects the workup and management of perioperative complications for specific clinical scenarios of low blood pressure (hypotension), low blood oxygen (hypoxemia), in the post- anesthesia care unit (PACU).
Interventions
None listed
Sponsors
University of California, Los Angeles
Loma Linda University
Study design
Observational model
CASE_CONTROL
Time perspective
OTHER
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patients in the post-anesthesia care unit with the following events * Mean arterial blood pressure \<60 mmHg or \<20% of pre-operative baseline mean arterial blood pressure,) hypoxemia (pulse oximetry saturation \<95% or Pao2 \<80), altered mental status, decreased urine output, chest pain/EKG changes, or to confirm endotracheal Lube placement.
Exclusion criteria
* Patients who are not able to have a point of care ultrasound examination in the post anesthesia recovery area.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| post anesthesia care (PACU) unit length of stay (minutes) | during year of the study enrollment | The primary outcome marker for the study was post anesthesia care (PACU) unit length of stay (minutes), with a hypothesis that patients receiving a POCUS examination for the cardiovascular or pulmonary event would have a shorter PACU LOS. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| number of diagnosis before and after assessment | during of the study enrollment | Additional markers include a POCUS report completed by the performing attending anesthesiologist that included POCUS findings and the number of potential diagnoses to explain the acute event (hypoxia and/or hypotension) before and after the POCUS exam was performed.. |
Countries
United States
Outcome results
None listed