Monitoring in Anesthesia and Critical Care

This book is a comprehensive guide to the monitoring of different organ systems in anaesthetics and intensive care.

Divided into nine sections, the text begins with an introduction to the evolution of monitoring equipment, computerised reporting, and minimum standards.

The following sections cover monitoring techniques for different systems of the body ? cardiovascular, respiratory, central and peripheral nervous, musculoskeletal, metabolic, and coagulation.

The final chapters discuss the monitoring of pain and related topics such as ventilator waveforms, foetal monitoring, and future technologies.

The book also features discussion on research-based monitoring ideas for the future, including quantifying pain, sedation, and maternal-foetal safety management.

Key points

• Comprehensive guide to the monitoring of organ systems in anaesthetics and intensive care
• In depth coverage of many different systems of the body
• Includes discussion on pain monitoring and future technologies
• Highly illustrated with clinical photographs and diagrams

Section 1: INTRODUCTION

• Evolution of Monitoring in Anesthesia and Critical Care
• Standardizing Agencies, Ethics, and Legalities
• Minimum Monitoring Standards
• Automatic Computerized Monitoring Systems and Recording Systems

Section 2: CARDIOVASCULAR SYSTEM

• Electrocardiography
• Monitoring of Arterial Pressure and Waveform Analysis
• Central Venous and Pulmonary Artery Pressure Monitoring
• Noninvasive Cardiac Output Monitoring: Death of the Swan
• Perioperative Transesophageal Echocardiography
• Transthoracic Echocardiography
• Dynamic Volume Status Indicators
• Pulse Oximetry, Co-oximetry, and Other Newer Technologies
• Tissue Perfusion Monitoring: Outside of Near Infrared Spectroscopy

Section 3: RESPIRATORY/PULMONARY SYSTEM

• Monitoring of the Pulmonary Functions
• Transcutaneous Gas Monitoring
• End-tidal Gas Monitoring in the Intensive Care Unit and Perioperative Period
• Ultrasound as a Monitor in Anesthesiology and Intensive Care Practice
• Thoracic Bioimpedance and Respiratory Rate Monitoring

Section 4: CENTRAL NERVOUS SYSTEM

• Monitoring Sedation Using Scales in Intensive Care Unit and Operating Room
• Transcranial Doppler Monitoring in Anesthesia and Perioperative Care
• Near Infrared Spectroscopy
• Intracranial Pressure Monitoring
• Monitoring During Epilepsy Surgery and Awake Craniotomy

Section 5: PERIPHERAL NERVOUS SYSTEM AND MUSCULOSKELETAL MONITORING

• Neuromuscular Blockade Monitoring
• Evoked Potentials (Spinal Cord Monitors)
• Perioperative Monitoring of the Autonomic Nervous System

Section 6: METABOLIC MONITORING

• Arterial Blood Gas Monitoring
• Nutritional Status Monitoring
• Electrolytes, Glucose, and Ketones: Metabolic Monitoring
• Biomarkers in Intensive Care Unit and Perioperative Period
• Temperature Monitoring
• Drug-level Monitoring

Section 7: COAGULATION MONITORING

• Laboratory Based Conventional Blood Tests
• Thromboelastography and other Point of Care Tests
• Platelet Function Testing and Newer Perioperative Anticoagulant Monitoring

Section 8: MONITORING OF PAIN

• Assessing and Measuring Pain in Special Populations: Children, Nonverbal and Cognitively Impaired Adults
• Assessing and Measuring Pain in Adults

Section 9: MISCELLANEOUS

• Ventilator Waveforms
• Fetal Monitoring of the Pregnant Patient in the Intensive Care Unit
• Future of Advanced Hemodynamic Monitoring Devices in Obstetric Critical Care
• Future Monitoring Technologies in Anesthesia and Intensive Care

Index

Anjan Trikha DA MD MAMS FICA FAMS FAOA
Professor

Preet Mohinder Singh MD DNB MNAMS
Assistant Professor

Both from Department of Anaesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciences, New Delhi, India