PRECORDIAL STETHOSCOPE THE ESSENTIALS
PRECORDIAL STETHOSCOPE • First advocated in the late 1940s. • By the 70s was recognized as the most important monitoring device in pediatric anesthesia.
PRECORDIAL STETHOSCOPE • ROUTINE MONITORING OF CHILDREN • Precordial stethoscope Inspired O2 tension Breath sounds Temperature • Heart sounds Cardiogram • Color Blood pressure • Perfusion status Oxygen saturation
PRECORDIAL STETHOSCOPE • Where to place ?? Depending on what you want to listen to • Most common site - 4 intercostal space, left sternal border ( nipple line). • Other sites : upper border of sternum 2nd intercostal space Rt.ESOPHAGUS