From Preface... ...Since the reasons for monitoring in anesthesia are primarily concerned with clinical care, we have oriented this text toward the clinician rather than the basic scientist. Thus, we emphasize the practical use of equipment on patients rather than emphasizing electronics and physics. We used several approaches to accomplish our objective. First, we asked our contributors to establish, when appropriate, a three-level hierarchy of monitoring. The first level includes those instruments and devices that should be utilized on all patients undergoing anesthesia and surgery--what could be called routine or essential monitoring. The second level includes those techniques that might be used for patients whose systemic disease or surgical procedure poses a threat in the absence of such a monitor. Measurement of cardiac output in patients with crippling heart disease would fit into this category. The third monitoring level encompasses techniques performed by specially trained individuals or in institutions with special interests. An example from this category might be measurement of cerebral blood flow during neurosurgical procedures. A second direction we have taken is to include chapters which address the monitoring needs of a clinical subject of subspecialty of anesthesia, such as obstetrical or neurosurgical anesthesia. Finally, we have tried to help the clinician to be better able to evaluate hardware from the variety of manufacturers that offer such systems.
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