Effect of pulse oximetry, age, and ASA physical status on the frequency of patients admitted unexpectedly to a postoperative intensive care unit and the severity of their anesthesia-related complications.

摘要: Unanticipated intensive care unit admission (UIA) associated with anesthesia served as an outcome measure to assess the quality of in a large teaching hospital. We characterized patient population and types problems UIAs, attempted identify patterns that could have led specific adverse outcomes, determined if intervention, pulse oximetry, reduced UIAs. During consecutive 65-wk period (July 1985-September 1986), 17,093 surgical patients were expected enter recovery room then return floor care. Seventy-one (0.42%) experienced UIA from either or operating room, circumstances their admissions analyzed detail. After introduction oximetry all anesthetizing locations (not including room) 29th week, overall rate UIAs and, specifically, rule out myocardial infarction, decreased significantly. Increasing ASA physical status (ASA-PS) age significantly increased probability UIA. ASA-PS III/IV had higher acuity far more likely die during hospitalization than I/II patients. Retrospective review alone did not requiring remediation, which leads us question utility generic screen for assurance.