Anaes Vivas · Extubation & recovery
Recovery — clinical monitoring viva
A monitoring/clinical viva on a deteriorating PACU patient combining several recovery problems: opioid-related respiratory depression with hypoxaemia, uncontrolled pain and agitation, and emergence hypertension — the structured assessment and prioritised management.
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Prompt
You are called to a PACU bay where a 68-year-old man, thirty minutes after a hemicolectomy under general anaesthesia, is agitated, pulling at his dressing, with a respiratory rate of 8, an oxygen saturation of 90 percent on room air, and a blood pressure of 180 over 100. Talk me through your assessment and management.
Stimulus
You are called to a PACU bay where a 68-year-old man, thirty minutes after a hemicolectomy under general anaesthesia, is agitated, pulling at his dressing, with a respiratory rate of 8, an oxygen saturation of 90 percent on room air, and a blood pressure of 180 over 100. Talk me through your assessment and management[2].
References4ShowHide
- [1]Ohnaka M, et al. Feasibility and safety of oxygen-free nasal high flow therapy in the acute postoperative period: a single-center randomized study. BMC Anesthesiol, 2026.PMID 42260402
- [2]Jiao SS, et al. Risk factors for unanticipated hypertension during emergence from general anesthesia in elderly surgical patients: A retrospective cohort analysis. Medicine, 2026.PMID 42363520
- [3]Aldrete JA The post-anesthesia recovery score revisited. J Clin Anesth, 1995.PMID 7772368
- [4]Wang Q, et al. Risk prediction models based on machine learning for emergence delirium in elderly patients undergoing spine surgery: development and validation study. BMC Anesthesiol, 2026.PMID 42363038