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Introduction to Patient Monitoring in Anesthesia

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K
Khalid

The document provides an introduction to patient monitoring in anesthesia. It discusses the importance of monitoring to detect potential issues and outlines the key physiological parameters that should be monitored, including circulation, ventilation, oxygenation, and temperature. It also describes the various equipment and methods used for monitoring these parameters in both the past and present.

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INTRODUCTION TO PATIENT MONITORING ,[object Object],[object Object],[object Object],[object Object]
Monitoring: Definition Word Monitor is from Monere means warning ,[object Object],[object Object]
Why monitoring anesthetized patients ? ,[object Object],[object Object],[object Object],[object Object]
Detecting Mishaps Using Monitors ,[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],These mishaps …
Patient Monitoring and Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What should be monitored ? ,[object Object],[object Object],[object Object],[object Object]
Monitoring in the Past Finger on the pulse
Monitoring in the Past ,[object Object],[object Object],[object Object]
Harvey Cushing Not just a famous neurosurgeon … but the father of anesthesia monitoring ,[object Object],[object Object],[object Object]
Concept Development CRRT Infusion Devices Physiological Monitoring Ventilation
Monitoring in the Present ,[object Object],[object Object],[object Object],[object Object]
ASA Monitoring Guidelines ,[object Object],[object Object]
ASA Monitoring Guidelines ,[object Object],[object Object],[object Object]
[object Object],CAS Monitoring Guidelines
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],CAS Monitoring Guidelines
[object Object],[object Object],[object Object],[object Object],[object Object],CAS Monitoring Guidelines
[object Object],[object Object],CAS Monitoring Guidelines
Detecting Mishaps Using Monitors ,[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],These mishaps …
Detecting Mishaps with Monitors ,[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],[object Object],[object Object],… are detected using these monitors
Basic Monitoring ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
How to monitor circulation? ,[object Object],[object Object],[object Object],[object Object],[object Object]
How to monitor oxygenation ? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
How to monitor ventilation ? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Capnography ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Visual Surveillance ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Low Tech Patient Monitoring ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Typical display. Perceptible output?
High Tech Patient Monitoring Examples of Multiparameter Patient Monitors
High Tech Patient Monitoring Some Specialized Patient Monitors BIS Depth of Anesthesia Monitor Evoked Potential Monitor Transesophageal Echocardiography
Special Monitoring ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Alarms ,[object Object],[object Object]
Airway / Respiratory Axis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Circulatory Axis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Depth of Anesthesia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CNS Monitoring ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Relaxation Axis ,[object Object],[object Object],[object Object],[object Object],[object Object]
Temperature Monitoring ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Electrolyte / Metabolic Axis ,[object Object],[object Object],[object Object],[object Object],[object Object]
Coagulation Monitoring ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Monitoring Neuromuscular Function ,[object Object],[object Object],[object Object],[object Object],[object Object]
Monitoring Neuromuscular Function ,[object Object],[object Object],[object Object],[object Object]
Monitoring Neuromuscular Function ,[object Object],[object Object],[object Object],[object Object]
Monitoring Neuromuscular Function ,[object Object],[object Object],[object Object],[object Object],Hemmerling and Donati A&A 95,1826-27,2003
Monitoring Neuromuscular Function ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Monitoring Neuromuscular Function ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Monitoring Neuromuscular Function TOF (Train of Four)
Why are mobile technologies important to students?
THANK-YOU
 
Who is the Critical Patient? ,[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]
The End
8 Axes of Clinical Anesthesia Monitoring (A Conceptual Model) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cardiac Monitoring Methods ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Introduction to Patient Monitoring in Anesthesia

Notes de l'éditeur

  1. The movement from device centred to information centred ICU was reflected in the way that bed design changed with the expansion of the carevue system. As I said earlier older ICU bedspaces are quite cramped as they weren’t designed to accommodate the amount of equipment that is currently required. In this image we tried to setup a typical older ICU bed as it would have been arranged. The equipment is spread around the bed.
  2. Train of Four: Using TOF : Cannot reliably detect fade with visual or tactile or by other means! Cannot be used to monitor deep neuromuscular block
  3. First, I am wondering if you have some answers to our leader’s question? Can you tell me why ubiquitous mobile technologies may increase student satisfaction and overall retention of learning material? Some possible answers are: Convenient Self-paced learning Fits the digital native lifestyel Increase grades/active learning/ portable/ interactive/entertaining/motivating