Nội dung text 7 Peri Operative Mx.pdf
INTRAOPERATIVE MANAGEMENT Monitoring : A) Standard (Basic) Monitoring-SpQ , HR , BP , ECG ,Temperature , wine output B) Specific Monitoring- - 1) Invasene 20 based on: a) Potential benefits and risks b) Potential for considerable blood loss or large fluid shifts during surgery Patient's ASA Physical status d) Presence of concurrent illnesses e) Planned surgery · Includes : D Transesophageal echocardiography 2) Pulmonary artery catheterization 3) Now invasive [O monitoring #) Quantitative monitoring of expired gas volume #) Neuro monitoring - if NMBA used - - BIS for monitoring brain - fenchon - · Avoid excess anaesthetic depth CRIO POCD). · Avoid awareness with recall after anaesthesia