Post-anaesthesia recovery
Anaesthesiology · Topic 6
Source: NMC CBME Curriculum 2024 · Volume III · Anaesthesiology · Topic 6 · combined PDF page 454
Practice questions
- A patient has just undergone spinal anaesthesia. Which location is recommended for immediate recovery?
- After anaesthesia, a patient is recovering in an imaging department rather than an operating-theatre suite. Which approach best follows the PACU guideline?
- An anaesthetist is transferring a patient to PACU. Which action is explicitly recommended at transfer?
- A patient in PACU is awake but cannot yet reliably maintain airway control. What observation arrangement is recommended?
- Which combination of findings marks the guideline's endpoint for one-to-one PACU observation?
- A patient in PACU has not met the unit's ward-discharge criteria. What is the minimum staffing arrangement specified for this situation?
- A PACU's emergency call system has not been checked for several months. Which corrective action aligns with the guideline?
- Which statement best describes the guideline's expectation for registered PACU practitioners?
- A tracheal tube remains in place while a patient is in PACU. Which monitoring is specifically required by the supplied guideline?
- A tracheal tube is to be removed from a patient in the PACU. According to the guideline, who is responsible for its removal?
- A hospital is revising its PACU-to-ward transfer process. What should be established for discharge decisions?
- A PACU is developing its governance plan. Which pair of systems does the guideline say should be in place?
- A child needs post-anaesthesia recovery. Which arrangement is specifically recommended?
- A critically ill patient remains in PACU because no critical-care bed is available. Who retains primary responsibility for the patient according to the guideline?
- A critically ill patient is being managed in PACU because of a bed shortage. What standard of care does the guideline require?
- A clinical team proposes applying PACU recommendations only to general anaesthesia in the main operating suite. Which interpretation is most consistent with the guideline?
- A hospital plans to send any available nurse to recover patients in a remote procedural area, without regard to PACU experience. What is the guideline-consistent response?
- A patient in PACU has regained airway control and is awake, but respiratory stability has not yet been established. What is the appropriate observation plan?
- In a randomized study of adults undergoing laparoscopic cholecystectomy under isoflurane, what effect did intravenous lipid emulsion have on extubation time compared with saline?
- In the same isoflurane recovery trial, which pair of outcomes was significantly shorter with intravenous lipid emulsion than with saline?
- Which set of measures was reported as showing better recovery quality with lipid emulsion in the adult isoflurane trial?
- A trainee concludes from the lipid-emulsion trial that lipid should routinely be administered after every general anaesthetic. Which assessment is best supported by the supplied evidence?
- In a randomized arthroscopy study using remifentanil, which maintenance combination was associated with shorter times to spontaneous ventilation and extubation?
- In the remifentanil arthroscopy study, which combination reached a post-anaesthesia recovery score of at least 9/10 sooner?
- Which adverse recovery observation was reported in the remifentanil arthroscopy trial?
- A day-case service is selecting an anaesthetic approach and wants to shorten recovery without compromising its quality. Which principle is supported by the supplied review?
- A day-case anaesthetic plan is being evaluated only by the purchase price of drugs. Which consideration from the supplied review most directly challenges this approach?
- A day-case service wants to promote a rapid return to normal after surgery. Which recovery profile is emphasized in the supplied review?
- The supplied review discusses methods to reduce anaesthetic drug use while expediting day-case recovery. Which strategy is included?
- A trainee reviews an older comparison of propofol and isoflurane and proposes that one agent always produces better recovery for every procedure duration. Which conclusion is most faithful to the supplied review?