Extubation in the PACU

The care of intubated patients in the post-anesthesia care unit (PACU) was recently reviewed by the Non-Hospital Medical and Surgical Facilities Program Patient Safety Incident Review Panel. In accordance with the accreditation standard, Post-Anesthesia Care, medical directors are reminded that:

  1. a one-to-one (1:1) nurse-to-patient ratio is required for intubated patients
  2. the anesthesiologist must be immediately available to the PACU while the patient remains intubated
  3. the anesthesiologist must be in attendance when the patient is extubated