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Question for Dr. Berg: Chart for blood pressure, heart rate, and SPO2.

March 23, 2015 | 20,00 EUR | answered by Dr. med. Ralf Berg

Dear Dr. Berg,

I have another important and urgent question regarding a protocol sheet.

1. Looking at the diagram, it is apparent that the blood pressure, specifically the systolic and diastolic pressure, is being monitored. What kind of blood pressure monitoring is this? Is it done with a blood pressure cuff? I find this strange because then the blood pressure cuff would be continuously monitoring and measuring the blood pressure in real time. Or is it an invasive continuous blood pressure monitoring? Is this type of blood pressure monitoring seen in the diagram actually connected to an anesthesia machine? Does this diagram indicate that blood pressure, SPO2, and heart rate are being monitored during anesthesia, or could this diagram also correspond to a normal cesarean section with epidural anesthesia without general anesthesia? In short, what type of blood pressure measurement is taking place here exactly? Can this diagram exist without anesthesia, or is this type of monitoring only possible in regional anesthesia?

Thank you in advance for your help.

Please do not explain the values to me, as I am already informed about them.

Here is the link to the PDF file:

http://www.directupload.net/file/d/3935/22wex7bf_pdf.htm

Best regards,

Dr. med. Ralf Berg

Hello, I have to keep my answers brief, as otherwise the system simply does not forward them. So sorry for the delay.

With the now clearly legible protocol, it is evident that this is not the anesthesia protocol, but an automatically generated protocol with the recorded vital signs from a monitor, supplemented with the administered medications. Blood pressure is not continuously monitored, but measured at intervals of 5, 10, 15 minutes using a cuff. It is not connected to an anesthesia device. The SpO2 is measured quasi-continuously (usually every 30 seconds to 1 minute) and recorded.

This monitoring should be standard for both anesthesia and epidural/spinal procedures. The type of blood pressure monitoring is non-invasive, interval-based, and automatically oscillometrically measured. So, yes, even in the case of standby anesthesia, these parameters should be monitored in this way.

If it still doesn't work, just give me a call. Until April 2nd, you can also reach me on landline at 06631 9657 14 or 21.

Best regards,
R. Berg