· General comments
· Human monitoring
· Sedation
· Major regional
· General anaesthesia
|
Sat probe |
BP cuff |
ECG |
Capno |
Sedation |
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+ |
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Regional |
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+ |
+ |
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General |
+ |
+ |
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+ |
N.B. GA also requires modern anaes machine with O2 and pressure alarms
· Anaesthetist must ensure all required monitoring equipment is available
· Monitoring requirements are case-dependent
· Alarms must be enabled and noisy
· Data must be documented
· Monitors do not replace vigilance and situational awareness
· Anaesthetist must be present from go to woe
· Brief absence ok so long as a competent assistant is present
· Permanent handover can only be to another anaesthetist
Airway and breathing |
· Ventilation: observation · Oxygenation: SpO2 |
Circulation |
· Pulse rate (i.e. SpO2) · Blood pressure (omission must be justified) · Intervals ≤ 10 minutes |
Must be available |
· ECG · Capno |
(Major regional: sedation monitoring + ECG)
· PS18 (this document) says NIBP + ECG
· PS03 (regional document) says NIBP + RR + conscious state, with pulse ox and ECG available
Airway and breathing |
· Ventilation: capno, circuit disconnection alarm, ventilation failure alarm · Oxygenation: SpO2 + circuit oxygen analyser |
Circulation |
· Pulse rate (i.e. SpO2) · NIBP (omission must be justified e.g. brief paeds case) · ECG · Intervals ≤ 10 minutes |
Must be available |
· Invasive arterial BP monitoring: if sick enough · Inhaled anaesthetic concentration: if in use · Temperature: if being actively warmed · Neuromuscular: if paralysed (and TOF ≥0.9 for extubation) · Processed EEG: if at risk of awareness |
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