Evaluation of safety and effectiveness of PACU (postanesthesia care unit) by a multicenter database

2022 Fiscal Year Final Research Report

• Project/Area Number: 19K18249
• Research Category: Grant-in-Aid for Early-Career Scientists
• Allocation Type: Multi-year Fund
• Review Section: Basic Section 55050:Anesthesiology-related
• Research Institution: Nagoya City University
• Principal Investigator: SENTO Yoshiki 名古屋市立大学, 医薬学総合研究院(医学), 講師 (80527416)
• Project Period (FY): 2019-04-01 – 2023-03-31
• Keywords: PACU / postanesthesia care unit / 術後回復室 / リカバリー / 日本PACU研究会

Outline of Final Research Achievements

A survey was conducted on "understanding and analysis of the occurrence of serious adverse events within 24 hours after surgery". The subjects were 18 pediatric general medical facilities nationwide. The number of facilities with PACU increased from 42% to 61%, and no facilities ceased operating. The reasons for the need for PACU were respiratory assessment, sedation assessment, pain assessment, and operating room utilization. The J-PACU Study Group was established as a platform for "verification of the usefulness of establishing a PACU as a measure to reduce postoperative serious adverse events''. A preliminary survey was performed in Gunma Prefecture. Hospitals with larger numbers of surgeries and operating rooms (ex, operating rooms more than 8) had PACUs.

Free Research Field

術後管理体制

Academic Significance and Societal Importance of the Research Achievements

これまでは正確に把握されていなかった日本の術後管理体制の現状と問題点を全国規模で経時的に調査し，その結果を報告したことによって，改善策を議論・検証する土台を形成することができた。
本研究のプラットフォームとして設立された日本PACU研究会では，ホームページを作成し，これによって広く社会・国民に向けて，術後患者の安全性と満足度と効率化を向上させうるPACUについての情報を提供し，その理解を深めることに貢献している。