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    ICU Monitoring

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    Afiqul Rashyed
    This document discusses ICU monitoring functions and techniques. It describes monitoring to detect problems and provide diagnostic information. Specific monitoring includes blood pressure, organ function, and tissue oxygen levels. Non-invasive blood pressure monitoring is less accurate than invasive but avoids complications. Invasive monitoring uses an arterial line, transducer, and saline to continuously display pressure waveforms but risks distal ischemia, thrombosis, embolism, infection, and hemorrhage.

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    ICU Monitoring

    Uploaded by

    Afiqul Rashyed
    14 views10 pages
    This document discusses ICU monitoring functions and techniques. It describes monitoring to detect problems and provide diagnostic information. Specific monitoring includes blood pressure, organ function, and tissue oxygen levels. Non-invasive blood pressure monitoring is less accurate than invasive but avoids complications. Invasive monitoring uses an arterial line, transducer, and saline to continuously display pressure waveforms but risks distal ischemia, thrombosis, embolism, infection, and hemorrhage.

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    ICU monitoring

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    This document discusses ICU monitoring functions and techniques. It describes monitoring to detect problems and provide diagnostic information. Specific monitoring includes blood pressure, organ function, and tissue oxygen levels. Non-invasive blood pressure monitoring is less accurate than invasive but avoids complications. Invasive monitoring uses an arterial line, transducer, and saline to continuously display pressure waveforms but risks distal ischemia, thrombosis, embolism, infection, and hemorrhage.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    14 views10 pages

    ICU Monitoring

    Uploaded by

    Afiqul Rashyed
    This document discusses ICU monitoring functions and techniques. It describes monitoring to detect problems and provide diagnostic information. Specific monitoring includes blood pressure, organ function, and tissue oxygen levels. Non-invasive blood pressure monitoring is less accurate than invasive but avoids complications. Invasive monitoring uses an arterial line, transducer, and saline to continuously display pressure waveforms but risks distal ischemia, thrombosis, embolism, infection, and hemorrhage.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 10

    ICU MONITORING

    FUNCTIONS OF MONITORING

     To detect that there is a problem


     To give information to allow diagnosis of the
    problem
    DETECTING A PROBLEM
     blood pressure
     compensatory sympathetic stimulation
     tachycardia
     sweating
     vasoconstriction

     organ dysfunction
     mental state
     urine output

     tissue hypoxia
     pH
     lactate
    BLOOD PRESSURE MONITORING

    Invasive
    Non-invasive
    pressure
    monitoring monitoring
    NON-INVASIVE MONITORING
     tends to under-read at high pressures and over-read at low
    pressures
     less accurate during arrhythmias

     non-continuous

     less suitable for haemodynamically unstable patients

     cuff width most important determinant of the accuracy of the


    pressure reading. Should be 40% of mid-circumference of limb
    (the length should be twice the width). Cuffs which are too
    narrow tend to overestimate BP while those which are too wide
    tend to underestimate
     complications include: ulnar nerve injury (usually associated with
    cuff being placed too low on upper arm), oedema of the limb,
    petechiae and bruising, friction blisters, failure to cycle and drip
    failure.
    INVASIVE PRESSURE MONITORING
     This system consists of
     arterial line connected by

     saline filled non-compressible tubing to a

     pressure transducer. This converts the pressure


    waveform into an electrical signal which is
    displayed on the
     bedside monitor

     pressurized saline for flushing


    COMPLICATIONS
     distal ischaemia
     arterial thrombosis

     embolism. May manifest as splinter haemorrhages

     infection

     haemorrhage
     disconnection
     around line
     accidental drug injection
     damage to artery eg aneurysm

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