Tuesday, September 6, 2011

i am the pulse....ox

let me buzz...


I am a clip stuck to a cable dangling from a monitor. I light up with a flick of a switch and hang on to your finger like i am never letting go. People tape me onto surfaces, tap me quite often and still find fault with my undying resolve to give you a discrete value spitting out light more than 20 times a second! Now lets see someone do that just once!
 I am the culmination of the beer lambert law and the efforts of two people quite sober that they hated beer.
I am the pulse oximeter probe or the colloquial pulsox!!
Well, today is just the day i can dwell on the problems i face with you, HUMANS..
Case in point... i am ever so inconspicuously doing my job in the icu on bed 4 dangling on his finger and givin you a pulseox reading.. Just because the consultant feels the value could be wrong, am yanked out of place, tapped on the bed, pulled off my cable port, checked for dust and then stuck onto his finger again. Would someone care to find out if my buddy, the inflatable b p cuff is pumping air at the same time?? Hell, when did someone check the vitals and the fio2??
After the ceremonious tap, sanity dawns that a blood gas analysis is required. Well that was just about time wasn it?
Medical nitwits not withstanding, the zonked out patients  find me as a substitute for a door knock! Tapping me on the railing to call the nurse who has dozed off early morning, the resident who has his tail on fire judging by the number of errands his delayed blood work has mounted on him and the ever so observant chief nurse who is so vigilant that she can pick up an alarm from far away but cant quite move out of her seat to do something about it.
I do get to hog my limelight once in a while tough. Senior consultants quizzing the freshers and the exam going studs about the principles of pulse oximetry, the masimo technology, the physics of beer lambert law, the problem with choosing the thumb to place a probe, directing a light source on the probe, methhemoglobinemia etc and the blank faces start giving me some respect which was so much overdue!
Given the fact that you are just going to sift through my misery in prose and contemplate the numerous occasions that i was found to be perennially malfunctioned, let me get on with my job of lighting people up!
Get a life people, there are problems beyond the probe for you to jeer.... they lie entwined between your ears!
 

Friday, November 26, 2010

temperature monitoring

let me buzz...

here is a presentation in ppt format that i compiled from miller 7th ed, smith paeds anesthesia and review articles published in anesthesiology clinics and anesthesia.

Temperature Monit                                                            

Tuesday, November 2, 2010

setting up an ICU

let me buzz...
presentation on setting up of an icu..
shared with permission from the moderator and presenter.


 Planning and Set Up of Icu                                                              

Wednesday, October 27, 2010

shock! anesthetic implications

let me buzz...

revised version!
shared with permission from the moderator and presenter.

Shock Five Point Zero                                                            


uncut version!

Shock Uncut Version