Analysis of influencing factors of PACU retention in patients after thoracoscopic surgery
10.3969/j.issn.1673-9701.2024.25.011
- VernacularTitle:胸腔镜手术患者滞留PACU的影响因素分析
- Author:
Binbin HE
1
Author Information
1. 台州市中心医院/台州学院附属医院麻醉科,浙江台州 318000
- Keywords:
Thoracoscopic surgery;
Postanesthesia care unit;
Risk factor
- From:
China Modern Doctor
2024;62(25):53-56
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the influencing factors of postanesthesia care unit(PACU)retention in patients after thoracoscopic surgery,so as to provide evidence for clinical prevention and treatment.Methods Clinical data of 645 patients undergoing thoracoscopic surgery in Taizhou Central Hospital from January to December 2023 were retrospectively analyzed.Patients were divided into retention group and non-retention group according to whether their stay time in PACU was more than 30 min.The risk factors of postoperative PACU retention were analyzed by Logistic regression.Results Among the 645 patients,159(24.65％)remained in PACU for more than 30 min.There were statistically significant differences in age,body mass index,smoking,American Society of Anesthesiologists(ASA)grade,preoperative anemia,operation time,intraoperative hypoxemia and intraoperative hypothermia between two groups(P＜0.05).Multivariate Logistic regression analysis showed that age,ASA grade Ⅲ/Ⅳ,operation time＞120 min,intraoperative hypoxemia and intraoperative hypothermia were all risk factors for postoperative PACU retention in patients undergoing thoracoscopic surgery(P＜0.05).Conclusion The PACU retention of patients after thoracoscopic surgery is related to age,ASA grade Ⅲ/Ⅳ,operation time＞120 min,intraoperative hypoxemia,intraoperative hypothermia and other factors.Clinical work should actively prevent and treat the patients to promote postoperative recovery.
