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INTRODUCTION TO PATIENT MONITORING ,[object Object],[object Object],[object Object],[object Object]
Monitoring:  Definition Word Monitor is from  Monere  means  warning   ,[object Object],[object Object]
Why  monitoring anesthetized patients ? ,[object Object],[object Object],[object Object],[object Object]
Detecting Mishaps Using Monitors ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],These mishaps …
Patient Monitoring and Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What  should be monitored ? ,[object Object],[object Object],[object Object],[object Object]
Monitoring in the Past Finger on the pulse
Monitoring in the Past ,[object Object],[object Object],[object Object]
Harvey Cushing    Not just a famous neurosurgeon …  but the father of anesthesia monitoring ,[object Object],[object Object],[object Object]
Concept Development CRRT Infusion Devices Physiological Monitoring Ventilation
Monitoring in the  Present ,[object Object],[object Object],[object Object],[object Object]
ASA Monitoring Guidelines ,[object Object],[object Object]
ASA Monitoring Guidelines ,[object Object],[object Object],[object Object]
[object Object],CAS Monitoring Guidelines
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],CAS Monitoring Guidelines
[object Object],[object Object],[object Object],[object Object],[object Object],CAS Monitoring Guidelines
[object Object],[object Object],CAS Monitoring Guidelines
Detecting Mishaps Using Monitors ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],These mishaps …
Detecting Mishaps with Monitors ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],…  are detected using these monitors
Basic Monitoring   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
How  to monitor  circulation? ,[object Object],[object Object],[object Object],[object Object],[object Object]
How to monitor  oxygenation  ? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
How to monitor  ventilation  ? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Capnography ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Visual Surveillance ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Low Tech Patient Monitoring ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Typical display. Perceptible output?
High Tech Patient Monitoring Examples of Multiparameter Patient Monitors
High Tech Patient Monitoring Some Specialized Patient Monitors   BIS  Depth of Anesthesia Monitor Evoked Potential Monitor Transesophageal  Echocardiography
Special Monitoring ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Alarms ,[object Object],[object Object]
Airway / Respiratory Axis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Circulatory Axis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Depth of Anesthesia   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CNS Monitoring ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Relaxation Axis ,[object Object],[object Object],[object Object],[object Object],[object Object]
Temperature Monitoring ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Electrolyte / Metabolic Axis ,[object Object],[object Object],[object Object],[object Object],[object Object]
Coagulation Monitoring ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Monitoring Neuromuscular Function ,[object Object],[object Object],[object Object],[object Object],[object Object]
Monitoring Neuromuscular Function ,[object Object],[object Object],[object Object],[object Object]
Monitoring Neuromuscular Function ,[object Object],[object Object],[object Object],[object Object]
Monitoring Neuromuscular Function ,[object Object],[object Object],[object Object],[object Object],Hemmerling and Donati A&A 95,1826-27,2003
Monitoring Neuromuscular Function ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Monitoring Neuromuscular Function ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Monitoring Neuromuscular Function TOF (Train of Four)
Why are mobile  technologies important to  students?
THANK-YOU
 
Who is the Critical Patient? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The End
8 Axes of Clinical Anesthesia Monitoring  (A Conceptual Model) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cardiac Monitoring Methods ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Patient Monitoring

Notas do Editor

  1. The movement from device centred to information centred ICU was reflected in the way that bed design changed with the expansion of the carevue system. As I said earlier older ICU bedspaces are quite cramped as they weren’t designed to accommodate the amount of equipment that is currently required. In this image we tried to setup a typical older ICU bed as it would have been arranged. The equipment is spread around the bed.
  2. Train of Four: Using TOF : Cannot reliably detect fade with visual or tactile or by other means! Cannot be used to monitor deep neuromuscular block
  3. First, I am wondering if you have some answers to our leader’s question? Can you tell me why ubiquitous mobile technologies may increase student satisfaction and overall retention of learning material? Some possible answers are: Convenient Self-paced learning Fits the digital native lifestyel Increase grades/active learning/ portable/ interactive/entertaining/motivating