By Editor: Suzanne M. Burns
AACN Protocols for perform: Noninvasive tracking delineates the proof for utilizing units for noninvasive sufferer tracking of blood strain, middle rhythms, pulse oximetry, end-tidal carbon dioxide, and respiration waveforms. those protocols advisor clinicians within the acceptable number of sufferers to be used of the machine, program of the gadget, preliminary and ongoing tracking, equipment elimination, and chosen elements of qc.
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Extra info for AACN Protocols for Practice: Noninvasive Monitoring, Second Edition
Mizutani M, Freedman SB, Barns E, et al. ST monitoring for myocardial ischemia during and after coronary angioplasty. Am J Cardiol. 1990;66:389–393. Study Sample Patients undergoing PTCA (n = 97). Comparison Studied Twelve-lead ECG monitoring was done during PTCA to determine the optimum lead or lead combination for detecting ST-segment deviation during acute ischemia. Patients were divided into 2 groups on the basis of evidence of ischemia during PTCA (chest pain, ST elevation, or both). Comparisons were made between the 2 groups in terms of clinical, angiographic, and hemodynamic subsets.
AACN Clin Issues. 1993;4:34–43. Description This article reviews the pathophysiology of coronary artery reocclusion after PTCA or thrombolytic therapy, ST-segment changes indicative of ischemia, ST analysis software, and selection of leads for ST-segment monitoring. Clinical Implications Because the goals of ECG monitoring include recognition of arrhythmia and early recognition of ischemia, the best leads for each goal should be used. Lead V1 is the best lead for monitoring arrhythmia and should be included in all lead combinations.
7. Drew BJ, Ide B, Sparacino PS. Accuracy of bedside electrocardiographic monitoring: a report on current practices of critical care nurses. Heart Lung. 1991;20:597–607. Study Sample Randomly selected AACN members (n = 302). obtaining the single lead of choice for single-channel monitors or the two leads of choice for dual-channel monitors. All nurses were asked to demonstrate their technique for obtaining MCL1 and MCL6 leads, whether or not they routinely used these leads. Additional data about nursing practices regarding selection of leads and documentation of arrhythmia were also collected but were not reported.