Monitoring During Anaesthesia &Critical State Dr.M.Kannan MD DA Professor And HOD Department of Anaesthesiology Tirunelveli Medical College

Warn

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

Cardio Respiratory Function Pulse Blood Pressure Oxygen Saturation Cardiac Rhythm Central venous Pressure Pulmonary Wedge Pressure Cardiac Output

Blood Pressure

Oxygen Saturation

Cardiac Rhythm

End Tidal CO 2

Multiparameter

Central Venous Pessure

How to Enter into Right Atrium Internal Juglar Vein Subclavian vein Femoralvein Arm vein External Juglar vein

Central Venous Pessure

SUB-CLAVIAN

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

Pulmonary Artery Catheter Swan Ganz Catheter

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

Oesophageal ECHO

Renal Function Urine out put Hourly

Temperature Core temperature Tympanic Membrane Oesophagus Rectum