PRECORDIAL STETHOSCOPE

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PRECORDIAL STETHOSCOPE

• THE ESSENTIALS

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PRECORDIAL STETHOSCOPE

• First advocated in the late 1940s.
• By the 70s was recognized as the most important
  monitoring device in pediatric anesthesia.

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PRECORDIAL STETHOSCOPE

• ROUTINE MONITORING OF CHILDREN
• Precordial stethoscope Inspired O2 tension
  Breath sounds Temperature
• Heart sounds Cardiogram
• Color Blood pressure
• Perfusion status Oxygen saturation

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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