We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......

Pediatric Anesthesia Monitoring

William M. Daly, MD; Rowena Special, RN
JAMA. 1968;205(10):704. doi:10.1001/jama.1968.03140360064023.
Text Size: A A A
Published online


To the Editor:—  Precordial stethoscopic monitoring is a valuable adjunct in pediatric anesthesia management; however, maintaining the usual style chest piece in proper contact with the chest wall during surgical gymnastics (without the dangers of dislodgement or of producing an area of pressure ischemia to the underlying skin) has always been a problem.With the advent of the stethoscope transducer, I have been gratified with the results of the following refinement of this technique, ie, apply a coat of compound tincture of benzoin and allow it to dry for a few moments; then attach a pediatricsize stethoscope transducer over the left nipple area so both respiratory and cardiac sounds are plainly audible (Fig 1). The stethoscope transducer will adhere tightly to the skin without danger of pressure damage. As further insurance against movement of the stethoscope transducer, surgical tape can be used to reinforce the application (Fig 2). The intimate


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.