Haemodynamic Monitoring
In this assignment the use of Haemodynamic monitoring will be discussed; the author will discuss a patient, (Mary) that came to operating theatres for a procedure. Names that are used have been changed in accordance with the Nursing and Midwifery Council (2004), to protect identities.
The specific haemodynamic monitoring used for the patient is, Direct Arterial Pressure Measurement, more commonly termed “A line”.
Mary is a 68 year old female who came to theatres for a diagnostic laparotomy. A laparotomy is an opening of the abdomen for surgical intervention (Merck 2007). This was to be performed as an initial examination could not definitively determine Mary’s diagnosis. It was believed after having an abdominal X ray that a possible bowel obstruction was present. Mary presented with other factors such as pains and cramps in the abdomen, and vomiting. Mary displayed symptoms of sepsis, Tachycardia, Unstable blood pressure, a lack of cardiac stability and she was obese. Due to Mary’s co morbidities it was decided that Mary would require an Intensive treatment unit (ITU) bed, level 2. With so many co morbidities a safe and effective way to monitor a patient while being anaesthetised is required. Mary may be anaesthetised for a long period of time and possibly a large quantity of blood loss, this is another indication for the use of an A line (Gwinnutt 2004).The world health organisation (WHO) (2006) state it is a basic human right that we be treated with respect and made to feel safe in our surroundings. To achieve this and give optimum care, to monitor Mary effectively it was decided that an A line would be inserted in theatre after Mary had been anaesthetised, but prior to the initial surgical incision.
Direct Arterial Pressure Measurement (A line).
An A line is created when separate individual pieces of equipment are connected to created and A line. The A line can then measure direct arterial pressure constantly on a “beat to beat” cycle, this aids
The specific haemodynamic monitoring used for the patient is, Direct Arterial Pressure Measurement, more commonly termed “A line”.
Mary is a 68 year old female who came to theatres for a diagnostic laparotomy. A laparotomy is an opening of the abdomen for surgical intervention (Merck 2007). This was to be performed as an initial examination could not definitively determine Mary’s diagnosis. It was believed after having an abdominal X ray that a possible bowel obstruction was present. Mary presented with other factors such as pains and cramps in the abdomen, and vomiting. Mary displayed symptoms of sepsis, Tachycardia, Unstable blood pressure, a lack of cardiac stability and she was obese. Due to Mary’s co morbidities it was decided that Mary would require an Intensive treatment unit (ITU) bed, level 2. With so many co morbidities a safe and effective way to monitor a patient while being anaesthetised is required. Mary may be anaesthetised for a long period of time and possibly a large quantity of blood loss, this is another indication for the use of an A line (Gwinnutt 2004).The world health organisation (WHO) (2006) state it is a basic human right that we be treated with respect and made to feel safe in our surroundings. To achieve this and give optimum care, to monitor Mary effectively it was decided that an A line would be inserted in theatre after Mary had been anaesthetised, but prior to the initial surgical incision.
Direct Arterial Pressure Measurement (A line).
An A line is created when separate individual pieces of equipment are connected to created and A line. The A line can then measure direct arterial pressure constantly on a “beat to beat” cycle, this aids