Monitoring regional anaesthesia

International Journal of Clinical Monitoring and Computing
J W McIntyre

Abstract

Monitoring patients under regional anaesthesia is more challenging than patients under general anaesthesia but it has been somewhat neglected in anaesthesia literature. The fundamental differences are that during regional anaesthesia. 1. The patient is often awake. 2. Respiration is more difficult to measure. 3. Autonomic changes influence information obtained by pulse oximetry. 4. Monitoring personnel are at a greater risk of vigilance decrement. A review of reported complications during regional anaesthesia enabled conclusions to be reached regarding monitoring policies in an institution. These include particular reference to spontaneous respiration and cerebral function. The need for an appropriately skilled person monitoring the patient in the operating room at all times is emphasized, as is the necessity for education appropriate for the skills they may have to exercise even on rare occasions. Specific instruction in vigilance decrement avoidance should be part of that curriculum.

References

Jan 1, 1989·International Anesthesiology Clinics·D A Paulus
Jan 1, 1989·International Anesthesiology Clinics·D H Lambert
Apr 1, 1989·Anaesthesia·A B Lumb, F Carli
Oct 1, 1989·Anaesthesia·R C Hamilton
Jan 1, 1989·Anesthesiology·K K Tremper, S J Barker
Jan 1, 1989·Journal of Clinical Monitoring·J F Kelleher
Apr 1, 1989·British Journal of Anaesthesia·J F Kidd, M D Vickers
Apr 1, 1989·Anaesthesia
May 1, 1989·Anaesthesia·P R Bromage
Jul 1, 1989·British Journal of Anaesthesia·J R WilesS M Mostafa
Jul 1, 1989·Anaesthesia·D Crawford
Sep 1, 1989·Anesthesiology·R I CookE Nunziata
Nov 1, 1989·Anesthesia and Analgesia·E H PhilipsonS B Amini
Oct 1, 1989·Anesthesiology·B Zucker-Pinchoff, S Ramanathan
Nov 1, 1989·Anesthesiology·R I CookJ S McDonald
Jan 1, 1989·Anesthesiology·H B Fairley
Mar 1, 1989·British Journal of Anaesthesia·P A StoneK S Lamb
Sep 1, 1988·Anesthesia and Analgesia·M A Pressman
Jan 1, 1988·Acta Obstetricia Et Gynecologica Scandinavica·R ErkkolaM Viander
Oct 1, 1988·Anesthesiology·R L Knill
Nov 1, 1988·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·J M NicollG Shetty
Nov 1, 1988·Anaesthesia and Intensive Care·M J Paech
Jul 1, 1987·British Journal of Anaesthesia·M F Allnutt
Jan 15, 1988·American Journal of Ophthalmology·J N McGalliard
Jan 1, 1988·Anesthesiology·A S Keats
Feb 1, 1988·Anesthesiology·D E CohenR C Raphaely
Apr 1, 1988·Anesthesiology·M H WillsR Arasi
Apr 1, 1988·Anaesthesia·S M Underwood, C J Glynn
Jun 1, 1988·Anesthesiology·R L FrerichsG M Bassell
May 1, 1988·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·D S Lee, N J Kwon
Apr 1, 1988·Acta Ophthalmologica·P RuusuvaaraA Tarkkanen
Jun 1, 1987·Ophthalmology·J C JavittJ J Leahy
Jul 1, 1974·Anesthesiology·D L Wetstone, K C Wong

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Citations

May 1, 1991·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·B T Finucane

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