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Complications in the Recovery Room

The complications described here are the experience of a study of over 10'000 consecutive patients at Gloucestershire Royal Hospital (Eltringham et al. 1978). Reference is also made to a similar study of 30000 patients in Cambridge (Farman 1978). Gloucestershire Royal Hospital is a district general hospital. There is no specialized surgery so the majority ofpatients are on routine lists. Emergency operations performed during the daytime are included, the recovery unit being closed at night. During an 18-month period, 10013 patients were admitted to the unit. More than 500 regional blocks were performed, most of them epidurals accompanied by light general anaesthesia, so that only 100 patients (1%) were actually conscious during operation. Patients remained in the recovery unit until they had regained consciousness, breathing was adequate and the cardiovascular system stable. The patients fell into three groups according to the duration of their stay in the unit. The first group (6202 patients, 62%) required little or no postoperative treatment and were all discharged in less than half an hour. The second group (3654 patients, 36.5%) required more careful monitoring, treatment or medical advice, but were ready for transfer within 2 hours. The patients in the third group (157 patients, 1.5%) had not recovered fully after 2 hours and for them the recovery unit was a short-stay ICU; 33 of them were eventually transferred to the ICU. For the purpose of simplicity, the complications are divided into cardiovascular, respiratory and others, although of course some patients had more than one complication.