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ICU Monitoring

This document discusses ICU monitoring functions and techniques. It describes monitoring to detect problems and provide diagnostic information. Specific monitoring includes blood pressure, organ function, and tissue oxygen levels. Non-invasive blood pressure monitoring is less accurate than invasive but avoids complications. Invasive monitoring uses an arterial line, transducer, and saline to continuously display pressure waveforms but risks distal ischemia, thrombosis, embolism, infection, and hemorrhage.

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Afiqul Rashyed
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46 views10 pages

ICU Monitoring

This document discusses ICU monitoring functions and techniques. It describes monitoring to detect problems and provide diagnostic information. Specific monitoring includes blood pressure, organ function, and tissue oxygen levels. Non-invasive blood pressure monitoring is less accurate than invasive but avoids complications. Invasive monitoring uses an arterial line, transducer, and saline to continuously display pressure waveforms but risks distal ischemia, thrombosis, embolism, infection, and hemorrhage.

Uploaded by

Afiqul Rashyed
Copyright
© © All Rights Reserved
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
Download as pptx, pdf, or txt
Download as pptx, pdf, or txt
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ICU MONITORING

FUNCTIONS OF MONITORING

 To detect that there is a problem


 To give information to allow diagnosis of the
problem
DETECTING A PROBLEM
 blood pressure
 compensatory sympathetic stimulation
 tachycardia
 sweating
 vasoconstriction

 organ dysfunction
 mental state
 urine output

 tissue hypoxia
 pH
 lactate
BLOOD PRESSURE MONITORING

Invasive
Non-invasive
pressure
monitoring monitoring
NON-INVASIVE MONITORING
 tends to under-read at high pressures and over-read at low
pressures
 less accurate during arrhythmias

 non-continuous

 less suitable for haemodynamically unstable patients

 cuff width most important determinant of the accuracy of the


pressure reading. Should be 40% of mid-circumference of limb
(the length should be twice the width). Cuffs which are too
narrow tend to overestimate BP while those which are too wide
tend to underestimate
 complications include: ulnar nerve injury (usually associated with
cuff being placed too low on upper arm), oedema of the limb,
petechiae and bruising, friction blisters, failure to cycle and drip
failure.
INVASIVE PRESSURE MONITORING
 This system consists of
 arterial line connected by

 saline filled non-compressible tubing to a

 pressure transducer. This converts the pressure


waveform into an electrical signal which is
displayed on the
 bedside monitor

 pressurized saline for flushing


COMPLICATIONS
 distal ischaemia
 arterial thrombosis

 embolism. May manifest as splinter haemorrhages

 infection

 haemorrhage
 disconnection
 around line
 accidental drug injection
 damage to artery eg aneurysm

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