hypnus

Lots of good info here. I was at a very small facility where PACU was literally a 30 second stroll away. The procedure was a BMT and the patient emerged in the OR. I suppose every circumstance is completely different. That's why nothing can replace the eyes and ears of the anesthetist for evaluating whether or not this type of transport is safe for the child.

Brownbook, just FYI I've pasted below the ASA Standards For Postanesthesia Care related to transporting to the PACU and suprisingly it is rather vague. Basically it's up to us to determine how to transport and monitor according to the individual patient! STANDARD II A PATIENT TRANSPORTED TO THE PACU SHALL BE ACCOMPANIED BY A MEMBER OF THE ANESTHESIA CARE TEAM WHO IS KNOWLEDGEABLE ABOUT THE PATIENT'S CONDITION. THE PATIENT SHALL BE CONTINUALLY EVALUATED AND TREATED DURING TRANSPORT WITH MONITORING AND SUPPORT APPROPRIATE TO THE PATIENT'S CONDITION.

Probably right about resources, but the standard of practice is what is actually happening out there in the real world. The more realistic resources that can be produced help support the idea of this practice. If you want to share specific facility info with me just send me a private message, if not I understand.

mannakay, did the CRNA or anesthesiologist actually carry the kiddo from the OR to PACU or did they remove them from the crib upon arrival for you to hold? Can you tell me what facility this was at? I am trying to find enough resources to hopefully make a project regarding this issue in support of this practice when the patient is evaluated to be "safe" for this type of post-op transport.

Brownbook, do you mind me asking where work? A locum CRNA at the facility thought it was so weird, said he hadn't seen anyone do it in his 35 years of practice. But I've seen it done at other facilities so long as the patient is not having airway issues. My patient was awake, moving all extremities, head lifting, yawning, etc. This was after a BMT only, about a 15 minute case. Thoughts? Comments?

Have any of you ever carried a pedi patient to PACU? Awake, breathing, can visualize skin for color, etc. Long story but facility I was at expected this.

Have any of you ever carried a pedi patient to PACU? Awake, breathing, can visualize skin for color, etc. Long story but facility I was at expected this.