Research Article

[Retracted] Application of Care Bundles in Postanesthesia Recovery for Elderly Patients with Colorectal Cancer

Table 1

Care bundles in PACU for elderly patients with colorectal cancer.

ItemObjective

Extubation procedure (post-PACB)(1) or has regained preoperative consciousness level
(2) The effect of muscle relaxants is completely reversed
(3) No secretions in the airway need to be get rid of
(4) Head of bed elevation by ≥30°
(5)
(6) EtCO2 or PaCO2 35~45 mmHg
(7) Spontaneous breath, respiratory rate (RR) from 10~25 bpm and tidal volume 6-12 mL/kg
Circulation (post-PACB)(1)
(2) No new onset arrhythmia
(3) failing to maintain mean blood pressure
Pain (post-PACB) or
Body temperature (post-PACB)(1)
(2) No chills, bristling hair, or coldness at the extremities (fingers, toes)
Internal environment (post-PACB)(1) No electrolyte imbalance
(2) pH 7.35-7.45
(3) No abnormal blood glucose level occurs
(4)
Pre-PACB(1) Conventional recovery caring methods
(2) Assist control ventilation and synchronized intermittent mandatory ventilation
(3) ECG monitoring
(4) Symptomatic treatment
(5) Body temperature measurement
(6) Tracheal catheter was removed after muscle strength was restored

RASS: Richmond Agitation and Sedation Scale; PACU: postanesthesia care unit; CPOT: critical-care pain observation tool; NRS: numerical rating score; bpm: beat per minute; BP: blood pressure. Yes, no, treatment.