Abstract

Background: The use of “standard ASA monitors” refers to the essential physiological monitoring devices recommended by the American Society of Anesthesiologists. These include pulse oximetry, electrocardiography, noninvasive blood pressure monitoring, and temperature monitoring. Additional monitoring includes end-tidal carbon dioxide levels, inspired oxygen concentration, and the use of alarms for low oxygen concentration and ventilator disconnection. It is vital to continuously and periodically monitor vital signs and hemodynamics throughout the perioperative period.
Objective: To assess and improve the daily practice of anesthetist’s usage of available standard ASA monitoring in the operation room for anesthetized patients, at Tibebe Ghion Comprehensive and Specialized Hospital, northwest Ethiopia, 2024.
Methodology: All consecutive three hundred forty-one surgical producers were observed to assess the usage of standard ASA and AABGI monitoring at the TGSCH surgical rooms were prospectively observed, irrespective of their diagnosis for one month and one week.
Result: A total of 341 surgical procedures was observed and anesthetists frequently used recommended monitoring practices such as the presence of professional anesthetists in the operating room (100%), NIBP monitoring (84.2%), continuous ECG monitoring (74.5%), pulse oximetry (100%), and alarms (70.4%). On the other hand, temperature monitoring was less frequently used by most anesthetists (38.1%), along with urine output monitoring (61.3%), ETCO2 monitoring (16.1%), and airway pressure monitoring (69.5%). Notably, the setup did not have access to neuromuscular monitoring and devices to measure the level
of hypnosis.
Conclusion and Recommendation: the recommended ASA and AABGI standards monitoring were below the recommended level so training should be given for all anesthetists who will be involved in anesthesia providing and regular re-auditing should be done to attain the given standards

Keywords

ASA, AABGI, monitoring, anesthetists, operation room, and patients