caa a22 4500 46581364X CHVBK 20180323112121.0 cr unu---uuuuu 170327e19901201xx s 000 0 eng 10.1007/BF02919386 doi (NATIONALLICENCE)springer-10.1007/BF02919386 McIntyre John Dept. of Anaesthesia, Univ. of Alberta hospitals, 8440-112 Street, T6G 2B7, Edmonton, Alberta, Canada aut Monitoring regional anaesthesia [Elektronische Daten] [John McIntyre] Monitoring patients under regional anaesthesia is more challenging than patients under general anaesthesia but it has been somewhat neglected in anaesthesia literature. The fundamental differences are that during regional anaesthesia. 1. The patient is often awake. 2. Respiration is more difficult to measure. 3. Autonomic changes influence information obtained by pulse oximetry. 4. Monitoring personnel are at a greater risk of vigilance decrement. A review of reported complications during regional anaesthesia enabled conclusions to be reached regarding monitoring policies in an institution. These include particular reference to spontaneous respiration and cerebral function. The need for an appropriately skilled person monitoring the patient in the operating room at all times is emphasized, as is the necessity for education appropriate for the skills they may have to exercise even on rare occasions. Specific instruction in vigilance decrement avoidance should be part of that curriculum. Kluwer Academic Publishers, 1990 monitoring nationallicence regional anaesthesia nationallicence education nationallicence International journal of clinical monitoring and computing Springer Netherlands 7/4(1990-12-01), 241-247 0167-9945 7:4<241 1990 7 12521 https://doi.org/10.1007/BF02919386 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF02919386 text/html Onlinezugriff via DOI NATIONALLICENCE 100 1- McIntyre John Dept. of Anaesthesia, Univ. of Alberta hospitals, 8440-112 Street, T6G 2B7, Edmonton, Alberta, Canada aut NATIONALLICENCE 773 0- International journal of clinical monitoring and computing Springer Netherlands 7/4(1990-12-01), 241-247 0167-9945 7:4<241 1990 7 12521 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer