Anesthesia Monitoring

Patient Monitoring and Management

• Involves …

ASA Monitoring Guidelines

STANDARD I

Qualified anesthesia personnel shall be present in the room throughout the conduct of all general anesthetics, regional anesthetics, and monitored anesthesia care.

STANDARD II

During all anesthetics, the patient’s oxygenation, ventilation, circulation, and temperature shall be continually evaluated.

Basic Monitoring Equipment

• Blood Pressure
• Heart Rate, ECG
• Airway Pressure
• Capnogram
• Pulse Oximeter
• Temperature
• Peripheral Nerve Stimulator

Monitoring ETC02

• Confirms the movement of air in and out of the lungs
• Reflects alveolar CO2
• Indicates adequacy of ventilation

ECG

The electrocardiogram only monitors the electrical activity of the heart and the heart rate. It is essential for diagnosis and treatment of arrhythmias.

Peripheral Nerve Stimulation

• Neuromuscular blockade

Temperature Monitoring

Indications:

• Hypothermia
• Hyperthermia