Ct1 Basic Monitoring

Basic Physiological Monitoring CT1 Education Series

Monitoring Standards - AAGBI ,[object Object],[object Object],[object Object],[object Object],Recommendations for standards of monitoring during anaesthesia and recovery (4th Ed.) AAGBI 2007

Monitoring: Induction & Maintenance ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Monitoring: Recovery ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

ASA Monitoring Standards ,[object Object],[object Object],Oxygenation: FiO2 analyser Pulse oximetry Ventilation: Capnography Disconnect alarm Circulation: ECG Blood pressure Pulse oximetry Temperature: Temp. probe

Pulse Oximetry - Terminology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Pulse Oximetry Basics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Pulsatile:static absorbance ratio of 1:1 = SpO2 85%

Factors Altering Accuracy ,[object Object],[object Object],[object Object],[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],[object Object],[object Object],[object Object],[object Object],[object Object]

NIBP Measurement ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Invasive BP Measurement ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Invasive BP - access & waveforms ,[object Object],[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],Phase I - exhalation of deadspace gas Phase II - transition from deadspace to alveolar gas Phase III - exhalation of alveolar gas Phase IV - Beginning of inspiration

Capnography ,[object Object],[object Object],[object Object],1 2

Capnography Traces In oesophageal intubation any CO 2 in stomach is gone in 3 breaths or so and trace disappears

Temperature Monitoring ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Good correlation Poor correlation

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