The effectiveness of peri-operative cardiac monitoring and pulse oximetry

Abstract

Life-threatening systemic complications during ophthalmic surgery under local anaesthesia are rare. However, respiratory and cardiovascular complications can cause significant morbidity and mortality. In this study continuous peri-operative oxygen saturation and cardiac monitoring provided the surgeon with early warning of life-threatening complications, resulting in rapid intervention and full recovery of the patients. Pre-operative venous cannulation aided rapid treatment. Due to ease of handling and interpretation, the equipment can be used effectively for peri-operative monitoring without any specialist training. All patients should be carefully monitored during local anaesthesia with pulse oximetry and cardiac monitors.