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Paediatric anaesthesia · Jan 2015
ReviewThrough the Glass Darkly: searching for safety signals in physiological monitoring.
- Andrew R Wolf.
- Centre for Structural and Congenital Heart Disease, Rush University Medical Centre, Chicago, IL, USA.
- Paediatr Anaesth. 2015 Jan 1;25(1):107-10.
AbstractPerioperative 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.© 2014 John Wiley & Sons Ltd.
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