Monitoring During Anaesthesia

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Monitoring During Anaesthesia Critical State

• Dr.M.Kannan MD DA
• Professor And HOD
• Department of Anaesthesiology
• Tirunelveli Medical College

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• Warn

monere
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Why should Monitor

• Predict The Critical Incidence Detrimental To
  Life
• -Hypotension/Hypertension
• -Hypoxia/Hypercapnia
• - Cardiac output
• -Hypothermia/Hyperthermia
• -Blood Chemistry
• -PO2,PCO2,Ph,Serum electrolyte
• Correct the defect Immediately

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Cardio Respiratory Function

• Pulse
• Blood Pressure
• Oxygen Saturation
• Cardiac Rhythm
• Central venous Pressure
• Pulmonary Wedge Pressure
• Cardiac Output

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Blood Pressure
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Oxygen Saturation
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Cardiac Rhythm
ECG
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ECG
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ECG
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ECG
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End Tidal CO2
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Multiparameter
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Central Venous Pessure
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How to Enter into Right Atrium

• Internal Juglar Vein
• Subclavian vein
• Femoralvein
• Arm vein
• External Juglar vein

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Central Venous Pessure
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SUB-CLAVIAN
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Advatages of CVP

• Monitoring central venous pressure in patients
  with hypovolemia and shock
• Infusion of caustic drugs
• Total parenteral nutrition (TPN)
• Aspiration of air emboli
• Insertion of transcutaneous pacing leads
• Venous access in patients with poor peripheral
  veins

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Pulmonary Artery CatheterSwan Ganz Catheter
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Pulmonary Artery CatheterSwan Ganz Catheter
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Advantages

• Pulmnary venous Pressure
• Measure cardiac output via the thermodilution
  method
• Assess the volume status of a patient
• Measure mixed venous oxygen content
• Derive hemodynamic indices
• Detect venous air embolism

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Oesophageal ECHO
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Renal Function

• Urine out put Hourly

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Temperature

• Core temperature
• Tympanic Membrane
• Oesophagus
• Rectum