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Nad+ Men’s Complex | M66
Nad+ Men’s Complex | M66
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Tuesday 29 September 2026 16:17:25 GMT
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🫀 Intraoperative ECG showing sudden irregular rhythms during spinal anaesthesia — but the patient’s vital signs remain stable. The patient is undergoing surgery under spinal anaesthesia. During the procedure, the ECG monitor suddenly begins displaying irregular rhythms and repeatedly triggering “arrhythmia” alarms. However, the patient’s other vital parameters remain stable, including blood pressure, oxygen saturation, and pulse. In this situation, the anaesthesia team should not immediately assume that the monitor alarm represents a true cardiac arrhythmia. First, the ECG tracing should be carefully assessed and correlated with the patient. Possible causes include ECG artefact, loose or displaced electrodes, electrosurgical interference, patient movement, poor electrode contact, or a genuine rhythm disturbance. The first step is always to assess the patient clinically: check the pulse manually, evaluate blood pressure and SpO₂, look at the ECG waveform, and confirm whether the displayed heart rate corresponds to the actual pulse. If the patient is stable and the pulse matches the monitor, the team should investigate the source of the abnormal tracing and check the ECG electrodes and cables. If a true arrhythmia is confirmed, management should then be guided by the type of rhythm and the patient’s clinical condition. 💡 Important anaesthesia principle: “Treat the patient, not the monitor.” An alarm is a warning—not a diagnosis. Continuous monitoring, proper ECG electrode placement, clinical assessment, and rapid recognition of genuine haemodynamic changes are essential for patient safety during anaesthesia.#Anesthesia #Anaesthesia #SpinalAnesthesia #SpinalAnaesthesia #ECG
🫀 Intraoperative ECG showing sudden irregular rhythms during spinal anaesthesia — but the patient’s vital signs remain stable. The patient is undergoing surgery under spinal anaesthesia. During the procedure, the ECG monitor suddenly begins displaying irregular rhythms and repeatedly triggering “arrhythmia” alarms. However, the patient’s other vital parameters remain stable, including blood pressure, oxygen saturation, and pulse. In this situation, the anaesthesia team should not immediately assume that the monitor alarm represents a true cardiac arrhythmia. First, the ECG tracing should be carefully assessed and correlated with the patient. Possible causes include ECG artefact, loose or displaced electrodes, electrosurgical interference, patient movement, poor electrode contact, or a genuine rhythm disturbance. The first step is always to assess the patient clinically: check the pulse manually, evaluate blood pressure and SpO₂, look at the ECG waveform, and confirm whether the displayed heart rate corresponds to the actual pulse. If the patient is stable and the pulse matches the monitor, the team should investigate the source of the abnormal tracing and check the ECG electrodes and cables. If a true arrhythmia is confirmed, management should then be guided by the type of rhythm and the patient’s clinical condition. 💡 Important anaesthesia principle: “Treat the patient, not the monitor.” An alarm is a warning—not a diagnosis. Continuous monitoring, proper ECG electrode placement, clinical assessment, and rapid recognition of genuine haemodynamic changes are essential for patient safety during anaesthesia.#Anesthesia #Anaesthesia #SpinalAnesthesia #SpinalAnaesthesia #ECG

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