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Discussion

PACU Recovery

I am an educator in an Endoscopy Suite. We generally do about 30-40 cases a day ranging from your basic EGD to more advanced procedures like ERCP, Robotic Bronchoscopies, Endomucosal resections. Some of these cases (primarily ERCP and Bronch) are done under general anesthesia with an ETT. The others are usually "MAC" anesthesia. Right now, we process every patient as a phase II patient, but my understanding is those who receive general anesthesia should go to phase I, then phase II. Is this correct and how other institutions do it? 

 

Additionally, how do other endoscopy units manage recovery/pacu? We generally follow a rotation, but does not always work due to patient acuity, etc. Do other areas do something different?

Thank you!

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    Institutional culture. Getting GA for less/non-invasive procedures like bronchoscopies, some EP procedures etc. where co-morbidities are low and the patient will be going home can go to phase II. ERCP's are generally sicker patients and higher risk so ought to go to phase I. But GA in itself is not a reason to have to be in phase I.

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