20 days · 5 algorithm cards · 24 of 25 cleared
PACU rotation curriculum
One page per day. Each day states a claim, names the evidence mode it rests on, and cites every number to a source ledger entry with a DOI, a PubMed identifier, or a regulatory or society document. No account, nothing saved.
- Day 01 Residual block is common, invisible, and dangerous clearedconsensus only
- Day 02 Airway obstruction is usually obvious, and the rest presents as desaturation clearedconsensus only
- Day 03 Supplemental oxygen hides hypoventilation clearedconsensus only also: methemoglobinemia
- Day 04 PACU discharge is a handoff into the window where respiratory depression happens clearedconsensus only
- Day 05 Postoperative hypotension is a dose clearedconsensus only
- Day 06 Postoperative hypertension is a sign before it is a number clearedconsensus only
- Day 07 Hypothermia has trial evidence, and the trials disagree clearedtrial based also: malignant hyperthermia presenting late in the PACU
- Day 08 Myocardial injury after noncardiac surgery is silent clearedconsensus only
- Day 09 Two interventions for every adult, and rescue changes class clearedtrial based
- Day 10 In opioid titration, sedation is not the endpoint clearedconsensus only
- Day 11 The blocked limb, the contested question, and the late toxicity clearedconsensus only
- Day 12 Postoperative delirium in the PACU clearedconsensus only
- Day 13 Delayed emergence is worked through in order clearedconsensus only
- Day 14 The OSA discharge rule is real, and its timing is undefined clearedconsensus only
- Day 15 Voiding and drinking are habits, not discharge criteria clearedconsensus only
- Day 16 Handover is a transfer of responsibility, and half the items still go missing clearedtrial based
- Day 17 Urinary retention is common, silent, and found with a scanner clearedconsensus only
- Day 18 Post-dural puncture headache has a window, a ladder, and a red flag clearedconsensus only
- Day 19 Positioning injuries declare themselves after the PACU clearedconsensus only
- Day 20 Anaphylaxis presents as hypotension, and the dose follows the grade clearedconsensus only
Algorithm cards
Standalone bedside cards, drawn from their day. A step that rests on a source carries its citation; a step that does not says so.
- Card Delayed emergence cleared
- Card Postoperative hypoxemia cleared
- Card PACU hypotension cleared
- Card PACU hypertension cleared
- Card Laryngospasm draft