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

2. Warn

5. 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

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

7. Blood Pressure

8. Oxygen Saturation

9. Cardiac Rhythm

14. End Tidal CO 2

15. Multiparameter

16. Central Venous Pessure

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

18. Central Venous Pessure

19. SUB-CLAVIAN

20. 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

21. Pulmonary Artery Catheter Swan Ganz Catheter

23. 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

24. Oesophageal ECHO

25. Renal Function Urine out put Hourly

26. Temperature Core temperature Tympanic Membrane Oesophagus Rectum