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 1: Definition of PACU, Setting up of PACU , Set up Staff/patient ratio,

https://drive.google.com/drive/folders/1aCnFhxtZmUyI7-HOpdjMMqoR01UcRk4K?usp=sharing

 

Session 2: Monitoring in PACU, Admission and discharge criteria, Criteria for Shifting into PACU,  

https://drive.google.com/drive/folders/1aCnFhxtZmUyI7-HOpdjMMqoR01UcRk4K?usp=sharing

 

Session 3: Aldred score, Discharge criteria, Fast tracking  

https://drive.google.com/drive/folders/1aCnFhxtZmUyI7-HOpdjMMqoR01UcRk4K?usp=sharing

 

Session 4 :Post Operative Complications And Its Management 

Airway obstruction, desideration, bronchospasm, 

https://drive.google.com/drive/folders/199__zSJJog3puM7sNcqi0daO7v2n_oed?usp=sharing

 

Session 5: laryngospasm, Unresponsiveness 

https://drive.google.com/drive/folders/199__zSJJog3puM7sNcqi0daO7v2n_oed?usp=sharing

 

Session 6: Neurological complications. - Coma, seizures

https://drive.google.com/drive/folders/199__zSJJog3puM7sNcqi0daO7v2n_oed?usp=sharing

 

Session 7:  CVA(stroke), cerebral hypoxia

https://drive.google.com/drive/folders/199__zSJJog3puM7sNcqi0daO7v2n_oed?usp=sharing

 

Session 8: Pulmonary edema, Haemorrhage from the surgical site

https://drive.google.com/drive/folders/199__zSJJog3puM7sNcqi0daO7v2n_oed?usp=sharing

 

Session 9: vascular complications-. DVT, embolism,(thrombus, air, fat, amniotic)

https://drive.google.com/drive/folders/199__zSJJog3puM7sNcqi0daO7v2n_oed?usp=sharing

 

Session 10 :  Trauma to teeth, Headache, Backache

https://drive.google.com/drive/folders/199__zSJJog3puM7sNcqi0daO7v2n_oed?usp=sharing

 

Session 11:   Ocular complications -loss of vision

https://drive.google.com/drive/folders/199__zSJJog3puM7sNcqi0daO7v2n_oed?usp=sharing

 

Session 12: Shock- and  types of shock - Anaphylactic shock,

https://drive.google.com/drive/folders/1uLVqHkKxJ7LRyMXWMFoNqf3cg27iudEO?usp=sharing

 

Session 13: management of shock 

https://drive.google.com/drive/folders/1uLVqHkKxJ7LRyMXWMFoNqf3cg27iudEO?usp=sharing

 

Session 14: hypoxia and its features and diagnosis 

https://drive.google.com/drive/folders/1uLVqHkKxJ7LRyMXWMFoNqf3cg27iudEO?usp=sharing

 

Session 15: Management of hypoxia 

https://drive.google.com/drive/folders/1uLVqHkKxJ7LRyMXWMFoNqf3cg27iudEO?usp=sharing

 

Session 16: Different instruments used in Surgical Procedures 

Gynecological/obstetric surgery

https://drive.google.com/drive/folders/1L2mG6EYxQYHITMHojCGqf5gS-H00Umbp?usp=sharing

 

Session 17:  General surgeries Procedures

https://drive.google.com/drive/folders/1L2mG6EYxQYHITMHojCGqf5gS-H00Umbp?usp=sharing

 

Session 18: Urological surgery

https://drive.google.com/drive/folders/1L2mG6EYxQYHITMHojCGqf5gS-H00Umbp?usp=sharing

 

Session 19: Orthopedic surgery

https://drive.google.com/drive/folders/1L2mG6EYxQYHITMHojCGqf5gS-H00Umbp?usp=sharing

 

Session 20:  Neurosurgery

https://drive.google.com/drive/folders/1L2mG6EYxQYHITMHojCGqf5gS-H00Umbp?usp=sharing

 

Session 21: Ophthalmic surgery

https://drive.google.com/drive/folders/1L2mG6EYxQYHITMHojCGqf5gS-H00Umbp?usp=sharing

 

Session 22: Otorhinolaryngologic and head and neck surgery (ENT)

https://drive.google.com/drive/folders/1L2mG6EYxQYHITMHojCGqf5gS-H00Umbp?usp=sharing

 

Session 23: Cardiac surgery

https://drive.google.com/drive/folders/1L2mG6EYxQYHITMHojCGqf5gS-H00Umbp?usp=sharing

 

Session 24:  Post operative pain relief- 

https://drive.google.com/drive/folders/1uIRlSkil6OQcrkoxzQ1n_xDz9fmCTD33?usp=sharing

 

Session 25:   Management of postoperative pain  narcotics, NSAID (im/iv )

https://drive.google.com/drive/folders/1uIRlSkil6OQcrkoxzQ1n_xDz9fmCTD33?usp=sharing

Session 26:  Local anesthetics through catheters

https://drive.google.com/drive/folders/1uIRlSkil6OQcrkoxzQ1n_xDz9fmCTD33?usp=sharing

 

Session 27: Transdermal patches

https://drive.google.com/drive/folders/1uIRlSkil6OQcrkoxzQ1n_xDz9fmCTD33?usp=sharing

 

Session 28:  Causes of mortality in PACU-

https://drive.google.com/drive/folders/1VVkP-1jd-mGrXc5bAb24GbrRd42nhv3q?usp=sharing

 

Session 29: Mortality -myocardial infarction 

https://drive.google.com/drive/folders/1VVkP-1jd-mGrXc5bAb24GbrRd42nhv3q?usp=sharing

 

Session 30: Arrhythmias, hypoxia

https://drive.google.com/drive/folders/1VVkP-1jd-mGrXc5bAb24GbrRd42nhv3q?usp=sharing

 

Session 31:  Electrolyte imbalance, massive haemorrhage, embolism.

https://drive.google.com/drive/folders/1VVkP-1jd-mGrXc5bAb24GbrRd42nhv3q?usp=sharing

 

Session 32:  Fluid Therapy * Fluid and electrolytes

https://drive.google.com/drive/folders/1HFUX1kJMnPHoIUVjGvfLwvWRt95Pv8GZ?usp=sharing

 

Session 33: Blood and blood components * 

https://drive.google.com/drive/folders/1HFUX1kJMnPHoIUVjGvfLwvWRt95Pv8GZ?usp=sharing

 

Session 34:  Plasma- Allergies and reactions and its management 

https://drive.google.com/drive/folders/1HFUX1kJMnPHoIUVjGvfLwvWRt95Pv8GZ?usp=sharing

 

Session 35:  Informed consent 

https://drive.google.com/drive/folders/1HFUX1kJMnPHoIUVjGvfLwvWRt95Pv8GZ?usp=sharing

 

Session 36: Use of body tissue and organ transplant 

https://drive.google.com/drive/folders/1HFUX1kJMnPHoIUVjGvfLwvWRt95Pv8GZ?usp=sharing

 

Session 37:  Records in OT 

https://drive.google.com/drive/folders/1HFUX1kJMnPHoIUVjGvfLwvWRt95Pv8GZ?usp=sharing

 

Session 38: medico-legal cases

https://drive.google.com/drive/folders/1HFUX1kJMnPHoIUVjGvfLwvWRt95Pv8GZ?usp=sharing

Our Main Teachers

Dr.M.vinod kumar