Post Anesthesia Care Unit CUTM 1828

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Dr.M.vinod kumar

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S.No Subject Code Subject Name Subject Type

 ( T-Pr-Pj)

No .Of Credits 
18 CUTM 1828 Post Anesthesia Care Unit  3-0-1 4

 

COURSE OBJECTIVES : 

 

1.Understand the Structure and Function of PACU -To familiarize students with the physical layout, staffing, equipment, and operational protocols of a Post Anesthesia Care Unit.

 

2.Monitor and Manage Postoperative Patients -To enable students to effectively monitor vital signs, level of consciousness, airway patency, and manage immediate post-anesthesia complications.

 

3.Recognize and Respond to Post-Anesthesia Complications- To develop skills in identifying and assisting in the management of common complications such as hypoxia, hypotension, nausea, vomiting, and delayed emergence.

 

  1. Ensure Patient Safety and Comfort in the PACU - To train students in techniques and protocols that promote patient safety, comfort, privacy, and psychological support during the recovery phase.
  2. Collaborate with the Multidisciplinary Team - To enhance the ability of anesthesia technicians to work efficiently with anesthesiologists, nurses, and surgeons in providing high-quality postoperative care.

 

COURSE OUTCOMES : 

 

CO1: Demonstrate Knowledge of PACU Protocols and Equipment-  Students will be able to describe the setup, equipment, and standard operating procedures in a PACU environment.

 

CO2: Perform Effective Postoperative Monitoring and Care -  Students will be able to assist in monitoring patients' vital signs and recovery status, ensuring safe transition from anesthesia to full consciousness.

 

CO3: Identify and Assist in Managing Post-Anesthetic Complications - Students will be able to recognize early signs of common post-anesthesia complications and provide appropriate support under supervision.

 

CO4: Communicate and Coordinate with the Healthcare Team-  Students will demonstrate effective communication skills and teamwork in coordinating postoperative care with anesthesiologists, nurses, and other medical staff.

MODULE-I 

Setting up of PACU- Definition of PACU, Set up Staff/patient ratio, Monitoring in PACU, Admission and discharge criteria, Criteria for Shifting into PACU, Aldred score, Discharge criteria, Fast tracking  

MODULE-II 

Post Operative Complications And Its Management 

Airway obstruction, desideration, bronchospasm, laryngospasm, Unresponsiveness 

Neurological complications. - Coma, seizures, CVA(stroke), cerebral hypoxia,

Pulmonary edema, Haemorrhage from the surgical site, vascular complications-. DVT, embolism,(thrombus, air, fat, amniotic)

    Trauma to teeth, Headache, Backache, Ocular complications -loss of vision

 

MODULE-III 

Shock-Anaphylactic shock, hypovolemic shock management

hypoxia and its management.

 

MODULE-IV  Different instruments used in Surgical Procedures 

Gynecological/obstetric surgery

General surgeries Procedures

Urological surgery

Orthopedic surgery

Neurosurgery

Ophthalmic surgery

Otorhinolaryngologic and head and neck surgery (ENT)

Cardiac surgery

 

MODULE-V  Post operative pain relief- * Management of postoperative pain- narcotics, NSAID(im/iv), local anesthetics through catheters, transdermal patches.

 

MODULE-VI: Causes of mortality in PACU- * Mortality -myocardial infarction, arrhythmias, hypoxia, electrolyte imbalance, massive haemorrhage, embolism.

 

MODULE VII: Fluid Therapy * Fluid and electrolytes * Blood and blood components * Plasma

* Allergies and reactions and its management *  Informed consent * Use of body tissue and organ transplant * Records in OT , medico-legal cases

 

Recommended Books

  1. Paul Marino -The ICU Book -4th edition
  2. Berry, Edna Carnelia & Marie Louis Kohn-Introduction to OR techniques -4th edition
  3. Brigden, Raymond.J-OT technical-5th edition
  4. Dixon, Ellen-Theater techniques-5th edition Reference books
  5. Nurse Anaesthesia by Nagelhout and Plans-5th edition (2014) Elsevier
  6. Drugs by Pramila Bajaj- clinical anaesthesia-13th edition

SESSION PLAN : 

 

Session 1 : Setting up of PACU- Definition of PACU

 

PPT link : PACU MOD -1 Setting up of PACU

 

Video link : 

 

Session 2 : Set up Staff/patient ratio, Monitoring in PACU,

 

PPT link : PACU MOD -1 Setting up of PACU

 

Video link : 

 

Session 3 : Admission and discharge criteria

 

PPT link : PACU MOD -1 Setting up of PACU

 

Video link : 

 

Session 4 : Criteria for Shifting into PACU

 

PPT link : PACU MOD -1 Setting up of PACU

 

Video link : 

 

Session 5 : Aldred score

 

PPT link : PACU MOD -1 Setting up of PACU

 

Video link : 

 

Session 6 : Discharge criteria and Fast tracking

 

PPT link : PACU MOD -1 Setting up of PACU

 

Video link : 

 

Session 7 : Post Operative Complications And Its Management 

 

PPT link : PACU MOD -2 Post operative complications and its management

Video link : 

 

Session 8 : Airway obstruction,

 

PPT link : PACU MOD -2 Post operative complications and its management

Video link : 

 

Session 9 : Desideration

 

PPT link : PACU MOD -2 Post operative complications and its management

Video link : 

 

Session 10 : Bronchospasm,

 

PPT link : PACU MOD -2 Post operative complications and its management

Video link : 

 

Session 11 :  Laryngospasm

 

PPT link : PACU MOD -2 Post operative complications and its management

Video link : 

 

Session 12 : Unresponsiveness 

 

PPT link : PACU MOD -2 Post operative complications and its management

Video link : 

 

Session 13 : Neurological complications. - Coma, seizures, 

 

PPT link : PACU MOD -2 Post operative complications and its management

Video link : 

 

Session  14: CVA(stroke), cerebral hypoxia

 

PPT link : PACU MOD -2 Post operative complications and its management

 

Video link : 

 

Session 15 : Pulmonary edema,

 

PPT link : PACU MOD -2 Post operative complications and its management

 

Video link : 

 

Session 16 : Haemorrhage from the surgical site

 

PPT link : PACU MOD -2 Post operative complications and its management

 

Video link : 

 

Session 17 : Vascular complications-. DVT, embolism,(thrombus, air, fat, amniotic)

 

PPT link : PACU MOD -2 Post operative complications and its management

 

Video link : 

 

Session 18 :  Trauma to teeth, Headache,

 

PPT link : PACU MOD -2 Post operative complications and its management

 

Video link : 

 

Session 19 : Backache, Ocular complications -loss of vision

 

PPT link : PACU MOD -2 Post operative complications and its management

 

Video link : 

 

Session 20 : Shock-Anaphylactic shock

 

PPT link : PACU MOD - 3 - SHOCK

 

Video link : 

 

Session 21 : Hypovolemic shock 

 

PPT link : PACU MOD - 3 - SHOCK

 

Video link : 

 

Session 22 : Shock management 

 

PPT link : PACU MOD - 3 - SHOCK

 

Video link : 

 

Session 23 : hypoxia and its management.

 

PPT link : PACU MOD - 3 - SHOCK

 

Video link : 

 

Session 24 : Different instruments used in Surgical Procedures 

 

PPT link : PACU - MOD -4 Different instruments used in Surgical Procedures

 

Video link : 

 

Session 25 : Gynecological/obstetric surgery

 

PPT link : PACU - MOD -4 Different instruments used in Surgical Procedures

 

Video link : 

 

Session 26 : General surgeries Procedures

 

PPT link : PACU - MOD -4 Different instruments used in Surgical Procedures

 

Video link : 

 

Session 27 : Urological surgery

 

PPT link : PACU - MOD -4 Different instruments used in Surgical Procedures

 

Video link : 

 

Session 28 : Orthopedic surgery

 

PPT link : PACU - MOD -4 Different instruments used in Surgical Procedures

 

Video link : 

 

Session 29 : Neurosurgery

 

PPT link : PACU - MOD -4 Different instruments used in Surgical Procedures

 

Video link : 

 

Session 30 : Ophthalmic surgery

 

PPT link : PACU - MOD -4 Different instruments used in Surgical Procedures

 

Video link : 

 

Session 31 : Otorhinolaryngologic and head and neck surgery (ENT)

 

PPT link : PACU - MOD -4 Different instruments used in Surgical Procedures

 

Video link : 

 

Session 32 : Cardiac surgery

 

PPT link : PACU - MOD -4 Different instruments used in Surgical Procedures

 

Video link : 

 

Session 33 : Post operative pain relief

 

PPT link : PACU - MOD -5 Post operative pain relief

 

Video link : 

 

Session 34  : Management of postoperative pain- narcotics, NSAID(im/iv)

 

PPT link : PACU - MOD -5 Post operative pain relief

 

Video link : 

 

Session 35:  Local anesthetics through catheters

 

PPT link : PACU - MOD -5 Post operative pain relief

 

Video link : 

 

Session 36 :  Transdermal patches.

 

PPT link : PACU - MOD -5 Post operative pain relief

 

Video link : 

 

Session 37 : Causes of mortality in PACU

 

PPT link : PACU - MOD - 6 Causes of mortality in PACU

 

Video link : 

 

Session 38 : Mortality -myocardial infarction

 

PPT link : PACU - MOD - 6 Causes of mortality in PACU

 

Video link : 

 

Session39  : Arrhythmias, hypoxia

 

PPT link : PACU - MOD - 6 Causes of mortality in PACU

 

Video link : 

 

Session 40 : Electrolyte imbalance, Massive haemorrhage, embolism.

 

PPT link : PACU - MOD - 6 Causes of mortality in PACU

 

Video link : 

 

Session 41 : Fluid Therapy * Fluid and electrolytes

 

PPT link : PACU - MOD -7 Fluid Therapy

 

Video link : 

 

Session 42 : Blood and blood components 

 

PPT link : PACU - MOD -7 Fluid Therapy

 

Video link : 

 

Session 43 : Plasma  , Allergies and reactions and its management 

 

PPT link : PACU - MOD -7 Fluid Therapy

 

Video link : 

 

Session 44 : Informed consent * Use of body tissue and organ transplant 

 

PPT link : PACU - MOD -7 Fluid Therapy

 

Video link : 

 

Session 45 : Records in OT , medico-legal cases

 

PPT link : PACU - MOD -7 Fluid Therapy

 

Video link :

Our Main Teachers

Dr.M.vinod kumar