Anaesthetist's role in postoperative care

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In the immediate but also later postoperative phases, anaesthetists are increasingly treating acute complications and managing postoperative pain. In recent years, it has been clear that in addition to surgical difficulties, the effects of longer hospital stays (infectious complications) and pre-existing co-morbidity have a significant impact on the overall outcome of surgery and may even lower quality of life following successful surgery. The fact that 30 day mortality and morbidity have remained mostly stable over the past few years, in contrast to the low intraoperative and early postoperative event rates, suggests that optimising care primarily in the postoperative period may be advantageous. It makes sense that there is more interest in finding ways to lower postoperative mortality.

Over the past 20 years, anesthesiology has undergone significant breakthroughs that have improved patient care and surgeon satisfaction. However, due to numerous surgical and anaesthetic difficulties, the post-operative phase might occasionally be turbulent. In the vast majority of healthcare systems around the world, post-operative care is often handled by surgeons, strangely overshadowing the crucial perioperative role played by anesthesiologists. An essential quality measure of anaesthetic care can be considered to be post-operative patient satisfaction. Patient happiness is currently prioritised globally in order to enhance healthcare services. However, because there are no standards, procedures, or metrics that are widely accepted, evaluating the level of satisfaction is fraught with difficulties.

It may save lives if problems that emerge in the initial postoperative period are identified and treated right away. The type of procedure, the anaesthetic methods utilised, the patient's comorbidities, and preoperative medical evaluation and optimization all affect the risk that a particular complication may develop for a given patient.This article provides an overview of post-anesthetic treatment and the most typical issues that arise in this setting (PACU). Preventive measures and preoperative examination are covered elsewhere. (See "Evaluation of perioperative pulmonary risk" and "Management of cardiac risk during noncardiac surgery"). Preoperative medical evaluation of the healthy adult patient.

According to the Accreditation Council for Graduate Medical Education's (ACGME) requirements, post-graduate anaesthesia residents must gain 0.5 months of experience in patient care immediately following anaesthesia. This experience must include direct patient care in the postanesthesia-care unit as well as responsibility for pain management, hemodynamic changes, and emergencies involving the postanesthesia-care unit. The council further states that aside from providing emergency response capabilities for cardiac arrests and rapid reaction circumstances inside the institution, the clinical duties in the postoperative care unit shall be restricted to the care of postoperative patients. A designated faculty member must be constantly and easily accessible for instruction and consultation.

Anesthetics and Anesthesiology is an open access, Peer- reviewed Journal which will be dedicated to submission of manuscripts in the field of anaesthesia practice, airway management, anaesthetic administration, preoperative & postoperative considerations, pain management, Sedation, Invasive hypo sedation.

Authors can submit manuscripts through mail Id: anesthesiology@scholarsresjournal.com

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Journal Coordinator

Journal of Anesthetics and Anesthesiology.