Development of a recovery-room discharge checklist (SAMPE checklist) for safe handover and its comparison with Aldrete and White scoring systems

Prates, A.A.; Colognese, Bruno; Caumo, Wolnei; Stefani, Luciana Cadore

doi:10.1016/j.bjane.2021.07.004

Cited by 4 publications

(2 citation statements)

References 23 publications

(25 reference statements)

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“…1 is considered irritable, 2 to 4 is satisfactory sedation, and 5 to 6 is excessive sedation. The recovery score was scored with a modified Aldrete score 3 : a total score of 10, with a score of ≥9 allowed to discharge from hospital.…”

Section: Methodsmentioning

confidence: 99%

Use of Remimazolam Combined With Alfentanil for Plastic Surgery Anesthesia Cases

Huang

Tan

et al. 2023

Ann Plast Surg

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Objective: This study aims to observe the safety and effectiveness of remimazolam benzenesulfonate combined with alfentanil for painless and comfort anesthesia in plastic surgery. Methods: Two hundred patients with American Society of Anesthesiologists (ASA) I-II for elective facial autologous lipofilling + autologous liposuction (thigh or abdomen) plastic surgery in our hospital were selected. One hundred patients received comfort anesthesia (observation group) on odd-numbered day of surgery, and other 100 patients received painless anesthesia (control group) on even-numbered day. Patients in both groups were given slow injection of remimazolam benzenesulfonate 0.1 mg/kg and alfentanil 5 μg/kg to induce sleep before local anesthesia. Depending on body action reaction to surgical stimulation, patients in the observation group were received with remimazolam 0.05 mg/kg and alfentanil 2.5 μg/kg for maintenance until the end of surgery after local anesthesia, and patients in the control group received with remimazolam 0.25 to 0.5 mg/kg/h and alfentanil 25 to 50 μg/kg/h in continuous pumps. Time to fall asleep, sedation score, time to end of medication, time to open eyes, recovery score, and the presence of body movement, glossoptosis, arousal or jaw support during hypoxia, hypotension, bradycardia, operation time, total amount of remimazolam and alfentanil used, and the presence of postoperative complications such as pruritus, dizziness, nausea, and vomiting were recorded in both 2 groups. Results: There were no significant differences in the preoperative vital sign parameters as mean arterial pressure, heart rate, and oxygen saturation between 2 groups ( P > 0.05). Intraoperative mean arterial pressure and heart rate were significantly lower in both groups compared with preoperative ( P < 0.05), but there was no statistically significant between the 2 groups ( P > 0.05). There was no significant decrease in oxygen saturation in both groups under the condition of intraoperative oxygen inhalation ( P > 0.05). There was no significant difference between the 2 groups in the incidence of adverse reactions, such as intraoperative body movement induced by skin cutting, glossoptosis requiring jaw thrust, postoperative pruritus, dizziness, nausea, and vomiting ( P > 0.05). There was no statistically significant difference in time to fall asleep, sedation score during local anesthesia, time to open eyes after stopping anesthetics, and recovery score between the 2 groups ( P > 0.05). Meanwhile, the total amount of remimazolam and alfentanil use was significantly reduced in patients in the observation group compared with the control group ( P < 0.05). Conclusions: Remimazolam benzenesulfonate combined with alfentanil can be used as a comfort anesthesia and painless anesthesia protocol in plastic surgery, which has the advantages of rapid onset of action, safety and comfort for patients, rapid recovery, and good cooperation. Furthermore, the protocol of remimazolam benzenesulfonate combined with alfentanil used in the observatio...

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Section: Methodsmentioning

confidence: 99%

Use of Remimazolam Combined With Alfentanil for Plastic Surgery Anesthesia Cases

Huang

Tan

et al. 2023

Ann Plast Surg

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“…This culminates in a routine practice of post-anesthesia care unit patient transfer protocol or guidelines in facilitating an acceptably short duration of PACU stay time, in relation to patient fitness for transfer to the respective ward, which is conventionally practiced as a subjective evaluation of discharge fitness and safe hemodynamic measurements by nurses. 2,4,5 The post-anesthesia care standards usually stress the role of anesthetists, or anesthesiologists; but the role of nurses in patient care at post-anesthesia care unit needs to focus on the provision of post-anesthetic nursing care. Therefore, promoting nursing care on the scientific grounds of practice is a framework for proper and better care delivery.…”

mentioning

confidence: 99%

Compliance to Post-Anesthesia Care Unit Discharge Score Practice Among Nurses at Post-Anesthesia Care Unit in the Jimma Medical Center in Ethiopia: A Best Practice Implementation Project, 2021

Ilala¹,

Kebede²,

Ayano³

et al. 2022

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Background: PACU discharge score criteria facilitate a risk safe and timely discharge of surgical patients under satisfactory safety conditions, thereby improving post-operative patient outcomes and requiring minimum resources. The aim of this best practice study was to provide best evidence-based practice on post-anesthesia discharge score criteria among nurses at the post-anesthesia care unit in the Jimma Medical Center. Methods: An audit and re-audit inter-professional study was employed. Twenty-four post-anesthesia care unit nurses were interviewed for baseline audit and 118 post-anesthesia care unit discharge scoring opportunities were observed for follow-up audit using three audit criteria. Results: First stage of the audit showed a performance of 37.5% for successful pain assessment, level of consciousness, nausea, vomiting, and blood pressure prior to patient discharge from the post-anesthesia care unit, and 62.5% for routine use of discharge criteria score to determine discharge readiness of patients from the post-anesthesia care unit. Re-audit results revealed an average of 40% improvement of the audit criteria practice toward post-anesthesia care unit discharge score. Conclusion:This study revealed that the use of various strategies such as role modeling, posting reminders about PACU discharge criteria, and presenting guidelines to the recovery teams resulted in improved practice toward best available evidence for postanesthesia care unit discharge score practice. Including the stakeholders in determining the strategies to upgrade practice is crucial in the accomplishment of promoting successful PACU discharge score. To ensure sustainable compliance to successful PACU discharge score criteria, a planned schedule of random report was employed by the clinical team.

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Construction of a nursing assessment framework for patients in anaesthesia recovery period: A modified Delphi study

Peng,

Zang,

Liu

et al. 2024

Journal of Advanced Nursing

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AimTo construct a nursing assessment framework for patients in anaesthesia recovery period.DesignA three‐round modified Delphi method was employed to capture the consensus of 22 panellists.MethodsThe initial items in the nursing assessment framework for patients in anaesthesia recovery period were developed based on the mini‐clinical evaluation exercise (mini‐CEX). A panel of 22 experts participated in this study. The panellists have more than 10 years of experience in either clinical anaesthesia, or post‐anesthesia nursing, or operating room nursing, or surgical intensive nursing. Between March and April 2023, the panellists evaluated and recommended revisions to the initial framework.ResultsThis study resulted in the development of a nursing assessment framework for patients in anaesthesia recovery period. The initial version of the framework consisted of six dimensions with 27 items. Six items were modified after the first round of consultation. After the second round, five modifications and four deletions were made based on expert opinion. The third round resulted in a convergence of expert opinion. The framework, which consists of 24 items across five dimensions, was refined. The five dimensions are as follows: History‐taking, Physical assessment, Clinical judgement, Organizational efficiency and Humanistic concern.ConclusionThe nursing assessment framework for patients in anaesthesia recovery period was reached consensus between the 22 experts’ opinions.Implications for the profession and patient careThe assessment framework constructed in this study could be used for the process evaluation of post‐anesthesia nursing. The framework may guide perianesthesia nurses in the timely and effective assessment of patients during this critical phase of care. It may be used for perianesthesia nursing education or to evaluate nurses' assessment skills.Reporting methodThe study is reported in accordance with the Guidance on Conducting and Reporting DElphi Studies (CREDES) recommendations.Patient or public contributionNo patient or public contribution.

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Development of a recovery-room discharge checklist (SAMPE checklist) for safe handover and its comparison with Aldrete and White scoring systems

Cited by 4 publications

References 23 publications

Use of Remimazolam Combined With Alfentanil for Plastic Surgery Anesthesia Cases

Use of Remimazolam Combined With Alfentanil for Plastic Surgery Anesthesia Cases

Compliance to Post-Anesthesia Care Unit Discharge Score Practice Among Nurses at Post-Anesthesia Care Unit in the Jimma Medical Center in Ethiopia: A Best Practice Implementation Project, 2021

Construction of a nursing assessment framework for patients in anaesthesia recovery period: A modified Delphi study

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