The past, present and future of the postanesthesia care unit (PACU) in Japan
The past, present and future of the postanesthesia care unit (PACU) in Japan
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DOI：
10.1007/s00540-017-2341-3
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发表时间：
2017-08-01
影响因子：
2.8
通讯作者：
Sobue, Kazuya
中科院分区：
文献类型：
--
作者：
Sento, Yoshiki;Suzuki, Toshiyasu;Sobue, Kazuya
麻醉后护理单位（PACU）由麻醉师管理和协调，为刚刚在麻醉下接受手术的患者提供一般医疗监督以及密切和持续的护理。尽管自20世纪40年代以来，PACU管理已被许多发达国家视为标准程序，但日本医院倾向于停止PACU管理，目前日本只有16.1%的医院拥有PACU。在当今日本注重效率的氛围下，我们需要考虑更好的术后管理方法，包括类似PACU的设施，以防止严重不良事件的发生，提高术后预后和生活质量。然而，由于日本独特的医疗系统和传统，术后患者的治疗和护理方式以及他们接受这种关注的地点可能需要进行修改，以适应日本风格。在这里，我们描述了PACU和麻醉后护理在日本的过去，现在和未来与其他国家的比较。
The postanesthesia care unit (PACU), which is run and coordinated by anesthesiologists, delivers general medical supervision as well as close and constant care to patients who have just undergone a surgical procedure under anesthesia. Although PACU management has been considered a standard procedure in many developed countries since the 1940s, Japanese hospitals have tended to cease their management, and only 16.1% of hospitals in Japan currently have PACUs. In today's efficiency-required atmosphere in Japan, we need to consider a better postoperative management method, including facilities similar to the PACU, to prevent serious adverse events and improve the postoperative outcomes and quality of life. Nevertheless, the way postoperative patients are treated and cared for, and the location in which they receive such attention, will likely need to be modified to fit the Japanese style due to Japan's unique medical systems and traditions. Here, we describe the past, present and future of the PACU and postanesthesia care in Japan compared with other countries.