Through the Glass Darkly: searching for safety signals in physiological monitoring

Summary Perioperative monitoring of ventilation, gas exchange, heart rate, blood pressure, and other basic physiological measures give important information on the well‐being of the child in the perioperative period. However, despite this level of surveillance, perioperative events that appear to be...

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Bibliographic Details
Published in:Pediatric anesthesia 2015-01, Vol.25 (1), p.107-110
Main Author: Wolf, Andrew R.
Format: Article
Language:English
Subjects:
Algorithms
anesthesia general
Blood pressure
Child
Heart rate
Humans
Intraoperative Neurophysiological Monitoring - methods
Monitoring, Intraoperative - methods
monitors
morbidity
noninvasive
Patient Safety
Physiology
safety management complications
Spectroscopy, Near-Infrared
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Summary:Summary Perioperative monitoring of ventilation, gas exchange, heart rate, blood pressure, and other basic physiological measures give important information on the well‐being of the child in the perioperative period. However, despite this level of surveillance, perioperative events that appear to be unheralded still occur. Improvements in alarms and alarm design combined with integrated analysis of monitored parameters that map to adverse outcomes may provide earlier warning of potential danger. Near real‐time analysis of heart rate and blood pressure variability can provide information on autonomic function and cardiac reserve, while devices such as tissue oximetry may be beneficial to optimize regional and global blood flow.
ISSN:1155-5645
1460-9592
DOI:10.1111/pan.12556