Expectation Patterns and planning possibilities of the Post Aneasthesia Care Unit

Patient indication and planning of the Post Anaesthesia Care Unit (PACU) in the Erasmus Medical Centre (EMC) in Rotterdam is found to be complicated. The goal of this research is to verify whether the current capacity of the PACU is sufficient or not. The main objectives we have to consider are minimizing the amount of cancelled surgeries and maintaining an acceptable occupancy level. Using simulation modeling the perfor- mance of the PACU for various capacity levels and bed admission policies is obtained. Next to this multiple environmental scenarios are implemented according to specific emergency-patient arriving patterns. An optimal patientmix of elective- and emergency patients is found, restricting the amount of elective arrivals per day, in order to maintain exibility for unexpected patients. After this we have constructed a mixed-integer program verifying a planning pattern for the after-surgical patients. The planning pattern allows surgical specialisms to secure beds for their elective patients.