By Roger Eltringham MB, ChB, FFARCS, Michael Durkin MB, BS, FFARCS, Sue Andrewes SRN, RSCN (auth.)
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Palpation of facial artery with ring finger Palpation of carotid artery medial to sternomastoid 26 Normal Recovery ! In addition to the above, confirmation of the pulse at the following sites may be useful after vascular or orthopaedic surgery: 5. 6. 7. 8. The The The The femoral artery popliteal artery dorsalis pedis artery posterior tibial artery (see Fig. 5) The rate should be counted over a minute and any irregularities noted. If the pulse is weak and difficult to palpate, this should be recorded.
The ventilator controls and gas flows are set by the anaesthetist but the recovery staff must know how to convert to manual ventilation should mechanical ventilation become unsatisfactory. They may be required to monitor: 1. The respiratory rate 2. The tidal volume (which can be read from a Wright spirometer placed on the expiratory limb of the ventilator tubing) The Ventilated Patient 37 3. The minute volume (tidal volume x respiratory rate) 4. The airway pressure. This is the pressure required to inflate the lungs.
The blood group and Rhesus factor on the cross match form must correspond to the blood unit label. In the case of rare groups, special arrangements are occasionally made with the transfusion laboratory for the supply of compatible blood of a different group. 3. The blood unit number must correspond with the patient's blood transfusion form. 4. The patient's identity must be confirmed. 5. The expiry date must not be exceeded. The checking must be assiduous and no discrepancy either in the spelling of the patient's name or in the legibility of letters or numbers should be passed without being queried.
Post-anaesthetic Recovery: A Practical Approach by Roger Eltringham MB, ChB, FFARCS, Michael Durkin MB, BS, FFARCS, Sue Andrewes SRN, RSCN (auth.)