Perioperatif non-invaziv monitorizasyon

Hasta monitörizasyonu anestezi pratiğinde temel anahtardır. Monitor kelimesi latince ‘uyarmak’ anlamına gelen ‘monere’ kelimesinden köken almaktadır. Monitorden elde edilen veriler her zaman bir hekim tarafından yorumlanmalıdır. 1998’de Amerikan Anestezi Cemiyeti (ASA) tarafından, hasta güvenliğinin arttırılması amacıyla intraoperatif monitorizasyon için standartlar belirlenmiştir. ‹ntraoperatif monitorizasyon tanım olarak, kalp hızı, kan basıncı, oksijen saturasyonu ve ısı gibi fizyolojik parametrelerin sürekli olarak mekanik aletlerle gösterilip kaydedilmesidir. Standart genel monitorizasyon invaziv olmayan kan basıncı, elektrokardiyografi (EKG) ve nabız oksimetre monitorizasyonudur. Bu yazının içeriğinde, standart perioperatif non-invaziv monitorizasyon, nöromüsküler monitorizasyon ve anestezi derinliğini ölçme yöntemleri gözden geçirilecektir.

Noninvasive perioperative monitoring

Patient monitoring is a key element in the provision of anaesthetic care. The word ‘monitor’ is derived from the Latin word ‘monere’ that means ‘to warn’. Information from monitoring equipment should always be interpreted by a physician. In 1998, American Society of Anesthesiologist (ASA) developed guidelines for intraoperative monitoring to improve patient safety. By description, intraoperative monitoring means the use of mechanical devices to record and display physiologic parameters such as heart rate, blood pressure, oxygen saturation and temperature. Standart routine monitoring is employing noninvasive blood pressure, electrocardiography (ECG) and pulse oxymetry. In this article, standard noninvasive perioperative monitoring, neuromuscular monitoring and methods for monitoring anaesthesia depth will be reviewed.

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