Intraoperative Monitoring& Management

Intraoperative Monitoring& Management

Intraoperative Monitoring and ManagementThere are many different approaches to the details of the anesthetic care of the cardiac patient, including the use of specific anesthetic agents or anesthetic techniques (e.g., general, regional, or monitored anesthesia care);

 the choice of anesthetic technique and intraoperative monitors is best left to the discretion of the anesthesia care team.

 The choice of the anaesthetic agent has been considered to be of little importance with regard to patients’ outcome provided the vital functions are adequately supported (De Hert et al., 2005).

There is conflicting evidence from cardiac surgery over whether a specific method is advantageous in cardiac disease, but there is no evidence of superiority of any specific anaesthetic agent in non-cardiac surgery

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 Most anaesthetic techniques reduce sympathetic tone, leading to vasodilatation and reduction in systemic blood pressure.

Thus, anaesthesiological management must ensure the proper maintenance of organ perfusion pressure (De Hert et al., 2005). Intraoperative management may be influenced by the perioperative plan, including the need for postoperative monitoring, ventilation, analgesia, and the perioperative use of anticoagulants or antiplatelet agents

. Therefore, a discussion of these issues before the planned surgery will allow for a smooth transition through the perioperative period (Slogoff S and Keats AS,