Ajaksic1: A significant amount

2022-08-18T16:43:28Z

A significant amount

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 <u>Indications</u>:
 Hemodynamic monitoring in specific circumstances including
 - Expected significant blood loss (multilevel spine, trauma, major ortho surg)
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 - Significant concern for NlBP cuff trauma; patient with very low PLT count or high INR
 - Cases where arm positioning make cuff potentially traumatic to med nerve (thoracotomy)

Ajaksic1: Started A-line page. Indications written. more to come

2022-08-18T15:20:08Z

Started A-line page. Indications written. more to come

← Older revision	Revision as of 08:20, 18 August 2022
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		<u>Indications</u>:
		Hemodynamic monitoring in specific circumstances including
		- Expected significant blood loss (multilevel spine, trauma, major ortho surg)
		- Clinically unstable patients (severe or labile hypertension or hypotension with concern for sepsis, cardiogenic shock, ect)
		- Surgical need for tight BP control (neurosurgical/vascular procedures; CNS aneurysm coiling, carotid surg)
		- Measurement of MAP crucial to derive cerebral perfusion pressure or coronary perfusion pressure (CPP): Neurosurgery, cardiac, beach-chair, semi-Fowler's ENT

		Frequent blood sampling for blood gas analysis &/or diagnostic tests to guide intraoperative management (electrolytes, iCal, Lactic acid, Hb, coagulation studies, TEG, ACT, PTH, ect)

		Unable to obtain a non-invasive blood pressure or NIBP ineffective/impractical
		- Morbidly obese patients where NIBP cuff pressures are unreliable
		- Significant concern for NlBP cuff trauma; patient with very low PLT count or high INR
		- Cases where arm positioning make cuff potentially traumatic to med nerve (thoracotomy)

2021-11-18T18:26:18Z

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