Administration of General Anesthesia - Transport and Disposition
Before leaving the OR, stable vital signs and adequate monitoring should be confirmed. Extubated patients should be able to breathe spontaneously without assistance and maintain stable oxygen saturation. Intubated patients should be connected to transport ventilators, and proper ventilation should be confirmed. All patients should be hemodynamically stable, and patients requiring vasopressors infusion should have proper hemodynamic monitoring during transport. Basic monitoring during transport includes a pulse oximeter, ECG, and noninvasive or invasive blood pressure monitoring. Emergency drugs and the equipment for emergent intubation should be available during transport of unstable patients. All patients who have received general anesthesia should be monitored in an appropriate postanesthesia care unit (PACU) or equivalent (eg, intensive care unit [ICU]) setting until they have recovered sufficiently to be discharged to a less closely monitored setting. During this time, oxygenation, ventilation, circulation, temperature, and level of consciousness should be monitored and treatment provided as needed.
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