Use of capnography in theatres recovery

Title : Use of capnography in theatres recovery

Abstract:

Use of capnography in theatres recovery: 

• The use of capnography in anaesthetics is vital to aid in early detection of respiratory and cardiovascular complications. It is essential requirement by AAGBI guidelines to have capnography as part of standard anaesthetic monitoring during transfer of pat
• This is a primary audit, to emphasize the need for capnography during transfer of patients from theatres to recovery , before 22^nd August 2024 department did not have portable monitors, almost all patients transferred to recovery were being transferred without essential monitoring exceptions included critically ill patients going to ITU.
• There was also a perceived lack of use of ETCO2 monitoring during recovery phase.

Aims of the audit: 

• The project’s aim was to ensure compliance with AAGBI standards of monitoring during immediate post operative care.
• To evaluate use of capnography to ensure adequate ventilation in patient that were recovering from GA and had supraglottic airway device in place.

Objectives of audit: 

• In the immediate post-op period, use of capnography was evaluated.
• Staff will be encouraged to use capnography through teaching, training and provision of equipment

Method: The following audit standards criteria were checked by using a proforma,

• AAGBI Standard Vitals Monitored Including Capnography Used During Transfer From Theatre To Recovery 
• Capnography (ECTO2 Monitoring) In Recovery
• If ECTO2 Was Monitored In Recovery Was It Documented In The Patient Notes

Sample size: 

• 30 patients were randomly selected.

Inclusion criteria:

• Any age group or gender
• Patient had GA for procedure
• Transferred to recovery with a SGA in situ

Exclusion criteria???????:

• Patient had RA as only mode of anaesthesia
• Patient had no airway intervention done during conduct of anaesthesia
• Patient came to recovery without SGA or on F.Mask

Data collection: 

• All patient data was collected from Theatre Recovery in PCH.
• Data collected over a period of 2 months.
• Prospective Data collection done

Results: 

• ADULTS (AGE>16yrs) 27 (87%)
• PEADIATRIC (AGE<=16yrs) 4 (13%)
• TOTAL CASES 31
• All received with SGA (LMA, i-gel etc) in situ during transfer

Biography:

Sana Imtiaz is a ST4 trainee anaesthetics working at Adeenbrookes hospital, part of east of England deneary. she is from Pakistan and been working here for 5 years.