20 patient monitoring

Patient Monitoring 23 November 2008 Elvin Cruz, MD, MS Med ETT Anesthesiologist Roizen: Essence of Anesthesia Practice Stoelting, Miller: Basics of Anesthesia Morgan, Mikhail: Anesthesiology Faust: Anesthesiology Review

Monitoring ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

ASA Standards for Basic Anesthesia Monitoring ,[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],ASA Standards for Basic Anesthesia Monitoring ,[object Object]

ASA Standards for Basic Anesthesia Monitoring ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Automated oscillometric NIBP monitor ,[object Object],[object Object],[object Object],[object Object]

Automated oscillometric NIBP monitor From: http://egems.gehealthcare.com/geCommunity/monitor/faq_bedside/nbp_faq.jsp Threshold

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Automated NIBP monitor complications

ECG ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

ECG ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],R-R interval

Normal Sinus rhythm HR ~ 85 bpm Pulse Rate estimation HR = 1500/#small boxes in R-R interval HR = 300/#large boxes in R-R interval

Sinus Tachycardia, HR ~ 135 Sinus Bradycardia, HR ~ 52

Monophasic VT (Ventricular Tachycardia), HR ~ 185 VFib (Ventricular Fibrillation)

Asystole Check pulse Check connections Verify other leads Multifocal PVCs (Premature Ventricular Contractions)

Pulse Oximetry ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],

Pulse oximetry ,[object Object]

Pulse oximetry ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Pulse Oximetry Limitations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Pulse Oximetry Limitations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Pulse Oximetry Limitations ,[object Object],SpO 2 number likely to be inaccurate

Capnography ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Invasive BP or Arterial Line Monitoring ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Arterial Line Monitoring ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Arterial Line Monitoring ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

20 patient monitoring

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20 patient monitoring