Monitoring
Last modified: 31 May 2022, 5:18:28 PM AEST
ANZCA Mandatory for GA1 / 8
- SpO2
- must be used for GA or sedation
- ETCO2
- mandatory for GA
- sedation = must be immediately available
- ET inhalational agent
- must be used when inhalational agent used
- ECG
- as clinically indicated
- "must be available"
- NIBP
- must be available
- Entropy
- should be available
- Temperature
- must be available
- whenever warming devices are used
- NMM
- must be available when NMBA used
- should be used when considering extubation
ECG2 / 8
- 3-lead = RA, LA, LL
- 4-lead = plus RL
- 5-lead = plus V5 (praecordial lead)
- https://www.draeger.com/Library/Content/ecg-monitoring-of-myocardial-ischemia-br-9066445-en.pdf
ETCO23 / 8
- endoscopy mouth guard > tip of mixing cannula > ETCO2 tubing
Trends4 / 8
- Have mini-trends on monitor
- 30 minutes
Alarms5 / 8
- Use these!
- Set up alarms
- MAP > 80 (reference pre-op MAP)
Entropy6 / 8
- Set alarms (defaults are 0 and 100)
- Set scale to 50 uV so the waveforms are easier to read
- Have burst suppression showing (See "All")
AA waveform7 / 8
- confirms delivery of VA (vs. just a number)