What are
the main complications occurring in the postanesthesia care unit (PACU)?
The incidence of complications in the PACU is
surprisingly high. A review of over 18,000 PACU admissions in a university
hospital showed an overall complication rate of 26%, the most common being PONV
(9.8%). Other com-plications are the need for airway support (6.9%),
hypoten-sion (2.7%), dysrhythmias (1.4%), hypertension (1.1%), altered mental
status (0.6%), rule-out myocardial infarction (0.3%), and major cardiac events
(0.3%). Another review of 120 incidents occurring in the PACU found that
two-thirds were related to respiratory complications.
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