INTRODUCTION TO PATIENT MONITORING. D. John Doyle MD PhD FRCPC Cleveland Clinic Foundation Revision 1.1 33 Slides January 2006 STA Patient Monitoring INTRODUCTION Vol 1 Rev 1.1.ppt. Monitoring: A Definition.
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D. John Doyle MD PhD FRCPC
Cleveland Clinic Foundation
Revision 1.1 33 Slides January 2006
STA Patient Monitoring INTRODUCTION Vol 1 Rev 1.1.ppt
Finger on the pulse
Qualified anesthesia personnel shall be present in the room throughout the conduct of all general anesthetics, regional anesthetics and monitored anesthesia care.
During all anesthetics, the patient’s oxygenation, ventilation, circulation and temperature shall be continually evaluated.
“The only indispensable monitor is the presence, at all times, of a physician or an anesthesia assistant, under the immediate supervision of an anesthesiologist, with appropriate training and experience. Mechanical and electronic monitors are, at best, aids to vigilance. Such devices assist the anesthesiologist to ensure the integrity of the vital organs and, in particular, the adequacy of tissue perfusion and oxygenation.”
3. Esophageal intubation
4. Bronchial intubation
5. Circuit hypoxia
6. Halocarbon overdose
9. Air Embolism
12. Acid-base imbalance
13. Cardiac dysrhythmias
14. IV drug overdose
Source: Barash HandbookDetecting Mishaps Using Monitors
These mishaps …
Examples of Multiparameter Patient Monitors
Depth of Anesthesia Monitor
Evoked Potential Monitor
Some Specialized Patient Monitors
(MCA flow velocity) (Research)
Rationale for use