Table 5 Compliance with ISSPA on intraoperative and postoperative monitoring
Items | Always Met | Sometimes Met | Never Met |
|---|---|---|---|
Intraoperative Monitoring | Audible signals and alarms at all times Continuous use of pulse oximetry Intermittent noninvasive blood pressure monitoring Continuous use of an electrocardiogram Continuous measurement of inspired and expired gas volumes Urine output monitoring (in appropriate cases) | Clinical observation by an appropriately trained anesthesia provider Inspired oxygen concentration monitor Disconnect alarm (when mechanical ventilator used) Continuous measurement and display of arterial blood pressure (in appropriate cases) | Carbon dioxide detector for patients undergoing intubation Device to prevent delivery of a hypoxic gas mixture Intermittent temperature monitoring Peripheral neuromuscular transmission monitor (when muscle relaxants used) Continuous waveform capnographya for patients undergoing general anesthesia and deep sedation Continuous measurement of inspired and expired inhalational anesthetic concentrations Continuous electronic temperature monitoring (in appropriate cases) Processed EEG in appropriate cases |
Postoperative Monitoring | Continuous use of pulse oximetry Intermittent noninvasive blood pressure monitoring Urine output monitoring (in appropriate cases) | Clinical observation: Tissue oxygenation and perfusion Respiratory rate and quality Pulse rate and quality | Assessment of pain score using age appropriate scale Intermittent temperature monitoring |