1 / 34

ECG Monitoring in Anesthesia

ECG Monitoring in Anesthesia. Kasana Raksamani Siriraj Hospital, Mahidol University. ECG, EKG, Electrocardiogram. The ECG is easy to understand The abnormalities happen for a reason. CONSTANT VIGILANCE !!!. The electricity of the heart. What to expect from the ECG. Essential monitor

foy
Download Presentation

ECG Monitoring in Anesthesia

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. ECG Monitoring in Anesthesia Kasana Raksamani Siriraj Hospital, Mahidol University

  2. ECG, EKG, Electrocardiogram The ECG is easy to understand The abnormalities happen for a reason

  3. CONSTANT VIGILANCE !!!

  4. The electricity of the heart

  5. What to expect from the ECG Essential monitor Rate, rhythm, propagation of the excitation wave, heart position, muscle hypertrophy, regional ischemia NO information about pump function

  6. 3-lead system

  7. Lead Selection • Lead II is the same as standard lead two as seen in a 12 lead ECG. • It is the most common monitoring lead. • It is not the optimal monitoring lead.

  8. Lead Selection • V5 = the best lead to detect ST-T change • Move the LA lead to V5 position • Monitor lead I

  9. The shape of the ECG P T QR S

  10. Normal ECG

  11. ECG interpretation Rate Rhythm Intervals QRS complexes ST segments & T waves

  12. Normal Abnormal

  13. ECG abnormalities Myocardial ischemia / infarction arrhythmias

  14. Myocardial ischemia / infarction • ST depression (0.1mv) • ST elevation (0.2mv) • T wave inversion • Abnormal Q

  15. Myocardial ischemia / infarction

  16. Bradyarrhythmias Sinus Bradycardia

  17. Bradyarrhythmias Junctional rhythm

  18. Bradyarrhythmias 1st Degree AV block

  19. Bradyarrhythmias: 2nd degree AVB Mobitz type I

  20. Bradyarrhythmias: 2nd degree AVB Mobitz type II

  21. Bradyarrhythmias: 3rd degree AVB

  22. Tachyarrhythmias: Premature complexes Atrial Premature Complexes

  23. Tachyarrhythmias: Premature complexes Ventricular Premature Complexes

  24. Tachyarrhythmias A.Fib

  25. Tachyarrhythmias Atrial Flutter

  26. Tachyarrhythmias PSVT

  27. Tachyarrhythmias Ventricular Tachycardia

  28. Tachyarrhythmias Torsades de pointes

  29. Tachyarrhythmias Ventricular Fibrillation

  30. Asystole

  31. Thank You

More Related