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PRECORDIAL STETHOSCOPE THE ESSENTIALS PRECORDIAL STETHOSCOPE First advocated in the late 1940s. By the 70s was recognized as the most important monitoring device in pediatric anesthesia. PRECORDIAL STETHOSCOPE ROUTINE MONITORING OF CHILDREN
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PRECORDIAL STETHOSCOPE THE ESSENTIALS
PRECORDIAL STETHOSCOPE • First advocated in the late 1940s. • By the 70s was recognized as the most important monitoring device in pediatric anesthesia.
PRECORDIAL STETHOSCOPE • ROUTINE MONITORING OF CHILDREN • Precordial stethoscope Inspired O2 tension Breath sounds Temperature • Heart sounds Cardiogram • Color Blood pressure • Perfusion status Oxygen saturation
PRECORDIAL STETHOSCOPE • Where to place ?? Depending on what you want to listen to • Most common site - 4 intercostal space, left sternal border ( nipple line). • Other sites : upper border of sternum 2nd intercostal space Rt.ESOPHAGUS