Application of Care Bundles in Postanesthesia Recovery for Elderly Patients with Colorectal Cancer

Abstract

Objective. Based on the postanesthesia recovery procedure for elderly patients with colorectal cancer, a care bundle program was conducted to validate its effectiveness. Method. According to the characteristics of elderly patients with colorectal cancer, five measures including respiratory management, circulatory stability, pain assessment, body temperature monitoring, and internal environment stability were integrated into one bundle. Postanesthesia care unit (PACU) care bundle program for elderly patients was developed and used to improve recovery care. The monitoring data of the pre-PACB group given care bundles were collected and compared with the data of the post-PACB group who were given conventional recovery care. Result. 222 patients in post-PACB group had shorter intubation time than 291 patients in pre-PACB group ( $37.7\pm 24.4\min$ vs. $42.1\pm 23.3\min$ , $P<0.05$ ). The length of stay in PACU was longer in pre-PACB group ( $89.9\pm 33.5\min$ vs. $81.6\pm 31.1\min$ , $P<0.05$ ). More adverse events were found in the post-PACB group than in the pre-PACB group (72.1% vs. 34.0%). Conclusion. After general anesthesia of patients with colorectal cancer, the application of the care bundles can improve the quality of recovery, shorten the intubation time and the length of stay in PACU, and reduce the complications caused by anesthesia.