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    Monitoring During Anesthesia

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    Lill Mobman
    This document discusses monitoring patients during anesthesia. It describes monitoring oxygenation using oxygen analyzers and oximetry. Ventilation is monitored through clinical observation, stethoscopes, and end-tidal carbon dioxide measurements. Circulation is monitored via ECG, heart rate, arrhythmias, blood pressure measurements, and ST analysis. The anesthesia machine and various systems of the body like cardiovascular, respiratory, neurological, and renal are also monitored. Specific monitoring techniques are outlined for each system.

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    Monitoring During Anesthesia

    Uploaded by

    Lill Mobman
    9 views28 pages
    This document discusses monitoring patients during anesthesia. It describes monitoring oxygenation using oxygen analyzers and oximetry. Ventilation is monitored through clinical observation, stethoscopes, and end-tidal carbon dioxide measurements. Circulation is monitored via ECG, heart rate, arrhythmias, blood pressure measurements, and ST analysis. The anesthesia machine and various systems of the body like cardiovascular, respiratory, neurological, and renal are also monitored. Specific monitoring techniques are outlined for each system.

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    Monitoring During Anesthesia

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    This document discusses monitoring patients during anesthesia. It describes monitoring oxygenation using oxygen analyzers and oximetry. Ventilation is monitored through clinical observation, stethoscopes, and end-tidal carbon dioxide measurements. Circulation is monitored via ECG, heart rate, arrhythmias, blood pressure measurements, and ST analysis. The anesthesia machine and various systems of the body like cardiovascular, respiratory, neurological, and renal are also monitored. Specific monitoring techniques are outlined for each system.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    9 views28 pages

    Monitoring During Anesthesia

    Uploaded by

    Lill Mobman
    This document discusses monitoring patients during anesthesia. It describes monitoring oxygenation using oxygen analyzers and oximetry. Ventilation is monitored through clinical observation, stethoscopes, and end-tidal carbon dioxide measurements. Circulation is monitored via ECG, heart rate, arrhythmias, blood pressure measurements, and ST analysis. The anesthesia machine and various systems of the body like cardiovascular, respiratory, neurological, and renal are also monitored. Specific monitoring techniques are outlined for each system.

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    © All Rights Reserved
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    Monitoring During Anesthesia

    Adel Mohamad Alansary, MD

    Why?
    Alert for potential incidents and errors.
    Guide medical, fluid and blood
    therapy.
    Replace patient homoeostatic system.
    Guide surgical therapy.

    Who?
    Anesthesiologist.

    What?
    Oxygenation:
    Oxygen analyzer.
    Oximetry.
    Clinical observation.

    What?
    Ventilation:
    Clinical observation.
    Stethoscope.
    EtCO2.

    What?
    Circulation:
    ECG
    HR.
    Arrhythmia.

    What?
    ST analysis.

    BP
    Non-Invasive.
    Invasive

    Anesthesia Machine

    Airway pressure.
    Flow meter.
    ETT.
    Oxygen supply pressure.
    IN OUT valves.
    Bellows.

    What?
    CVS: Precordial stethoscope, IBP,
    PAP, CVP, Processed ECG, TEE,
    SVV, PPV, CO.
    Respiratory: expired gas,
    inhalational anesthetic, lung water,
    mixed venous Oximetry.
    Neurological: Processed EEG, CSF
    pressure, Evoked potentials, JVB
    Oximetry, cerebral Oximetry.

    What?
    Neuromuscular monitoring.
    Renal: UOP, pH.
    Coagulation monitors.
    Bleeding.

    HEMODYNAMIC MONITORING

    Joseph T.
    Clover (1825
    1882).

    Cope DK. Monitoring in the 19th century:from blood-letting to


    blood-flow measurements.ASA Newsl 2002;66(9):68.

    ABP
    Non- invasive
    Auscultatory.
    Oscillemetry.
    Invasive
    Indications.
    Sites.
    Complications.
    Technical factors.

    Normal Arterial Wave

    What?
    Vitals.
    Anesthesia machine.
    Specific systems:

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