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Chapter 16 - Fundamentals of Basic Patient Monitoring

Published online by Cambridge University Press:  18 August 2022

By
Victoria Cadman  and
Efua Hagan
Edited by
Daniel Rodger ,
Kevin Henshaw ,
Paul Rawling  and
Scott Miller
Daniel Rodger
Affiliation:
Senior Lecturer in Perioperative Practice, London South Bank University
Kevin Henshaw
Affiliation:
Associate Head of Allied Health Professions, Edge Hill University, Ormskirk
Paul Rawling
Affiliation:
Senior Lecturer in Perioperative Practice, Edge Hill University, Ormskirk
Scott Miller
Affiliation:
Consultant Anaesthetist, St Helens and Knowsley Hospitals NHS Trust
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Summary

This chapter explains the fundamentals of basic patient monitoring for patients undergoing general anaesthesia. Monitoring provides information and feedback of a patient’s physiological state in response to any therapeutic interventions or stimuli during anaesthesia and surgery. It is vital that perioperative practitioners understand the underlying principles of basic patient monitoring. This includes understanding how and what is being measured, how the monitoring is assembled, and how to problem solve to ensure optimal functionality and accuracy.

Keywords

MonitoringBlood pressureOxygen saturationECGGas analysisPostoperativeIntraoperativeAnaesthesiaSurgeryTemperature
Type
Chapter
Information
Fundamentals of Operating Department Practice , pp. 172 - 179
Publisher: Cambridge University Press
Print publication year: 2022

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References

Klein, A. A., Meek, T., Allcock, E., et al. Recommendations for standards of monitoring during anaesthesia and recovery: guideline from the Association of Anaesthetists. Anaesthesia 2021; 76: 1212–1223.CrossRefGoogle ScholarPubMed
Kim, J. and Gadsden, J.. Monitoring and sedation in regional anesthesia. In Kaye, A.D., Urman, R.D., and Vadivelu, N. (eds.), Essentials of Regional Anaesthesia, 2nd ed. Cham, Cham Springer International Publishing, 2018, pp. 107–120.Google Scholar
World Health Organization. Pulse Oximetry Training Manual. Geneva: WHO, 2011.Google Scholar
Haynes, A. B., Weiser, T. G., Berry, W. R., et al. A surgical safety checklist to reduce morbidity and mortality in a global population. The New England Journal of Medicine 2009; 360: 491–499.CrossRefGoogle Scholar
Chan, E. D., Chan, M. M., and Chan, M. M.. Pulse oximetry: understanding its basic principles facilitates appreciation of its limitations. Respiratory Medicine 2013; 107: 789–799.Google Scholar
Ballesteros-Peña, S., Fernández-Aedo, I., Picón, A., et al. Influence of nail polish on pulse oximeter readings of oxygen saturation: a systematic review. Emergencias 2015; 27: 325–331.Google Scholar
Gwinnut, M. and Gwinnut, C. L.. Clinical Anaesthesia, 5th ed. Oxford: John Wiley & Sons. 2016.Google Scholar
Hammond, R. and Spurgeon, H.. Observations. In Dougherty, L. and Lister, S. (eds.), The Royal Marsden Manual of Clinical Nursing Procedures, 9th ed. Hoboken, NJ: John Wiley & Sons 2015, pp. 595–674.Google Scholar
Hampton, J. R. C.. The ECG Made Easy, 8th ed. Edinburgh: Churchill Livingstone, 2013.Google Scholar
Scott, S.. Clinical measurement and monitoring. In Aitkenhead, A. R. and Thompson, J.P (eds.), Smith and Aitkenhead’s Textbook of Anaesthesia, 6th ed. London: Elsevier 2013, pp. 312–356.Google Scholar
Kennedy, H. and Wilson, M.. Monitoring techniques: neuromuscular blockade and depth of anaesthesia. Anaesthesia and Intensive Care Medicine 2020; 21: 373–378.CrossRefGoogle Scholar
National Institute for Health and Care Excellence. Hypothermia: prevention and management in adults having surgery clinical guideline [CG65]. Available from: www.nice.org.uk/guidance/cg65.Google Scholar
Preston, N. and Gregory, M.. Patient recovery and post-anaesthesia care unit (PACU). Anaesthesia and Intensive Care Medicine 2015; 16: 443–445.CrossRefGoogle Scholar
Royal College of Physicians National Early Warning Score (NEWS)2: Standardising the Assessment of Acute-Illness Severity in the NHS. Updated report of a working party. London: RCP, 2017.Google Scholar

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