By A N Kingsnorth; Aljafri A Majid

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Volatile agent concentration Monitors normally operate by infrared gas analysis. There can be a considerable difference between the vaporiser setting and the delivered concentration. Volatile agent concentration monitors should help to avoid excessively light or heavy anaesthetics. Ventilator disconnect alarm There are many different kinds and all are designed to detect an absence in cyclical pressure fluctuations within the breathing system rapidly. The two most important causes of this are disconnection and ventilator failure.

In general, a low cardiac output (impending cardiac arrest or cardiogenic shock, in addition to the causes discussed above) features an abnormally low perfusion, a high ventilation–perfusion ratio and, consequently, a low expired CO2 (increased deadspace). Malignant hyperpyrexia: A frank increase in CO2 often precedes other signs. ECG Monitoring of the patient Pulse oximetry This is based on the physical principle of different but characteristic absorptions of light by oxygenated and deoxygenated Hb.

Its limitations are based on the exclusion of age, sex and type of surgery in assessment [5]. 5). Its recommendations constitute important guidelines regarding safety trends. Some of the more important points highlighted in recent years are: • preoperative assessment and treatment; • skill and experience; • supervision of trainees; • perioperative monitoring; • prevention of thromboembolism; • out of hours work; • intensive care facilities; • records and audit; • postmortem examinations. 5. CEPOD.

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