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Progress in Medical World part 5

NEW TECHNIQUES Oximetri pulse and capnography Once published standards by monitoring during anesthesia at Harvard Medical School, Anesthesia American Society of Experts has been a leader in adopting standards of care and practice guidelines. As a result, oximetri pulse and capnography (analysis of carbon dioxide in the air when breathing out) at the currently used routinely to monitor the actual general anesthesia for all patients in the United States operations.  

Contrary to optimistic predictions that the use of oximetri pulse will reduce the incidence of hypoxic injury during anesthesia, in a supporting study, randomly about 20,000 patients in five Danish hospitals, there were no significant differences in the cardiovascular, respiratory, neurological, or infectious complications among patients using oximetri pulse and patients who did not use it. Nevertheless, even the sample of 20,000 people may still be too little to identify the benefits oximetri pulse because major complications are very rare. It seems clear that the pulse oximetri noninvasi provide early warning to doctors about hipoxia that in the future.  

Infrared capnography is useful for diagnosis and management of esophageal intubation, endobronchial intubation, airway obstruction, bronchopasma, hipermetabolik circumstances, pulmonary embolism, air embolism venus, and shock carcinogenic. In addition, infrared capnography is also useful to identify mechanical problems in the anesthetic circuit. The advantage of routine use of capnography and pulse oximetri, such as desired outcomes of cost-saving analysis, has been directed at ensuring malpractice to offer practitioners an incentive to use oximetri pulse and capnography.

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