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ARTICLE | March 20, 1987

Standards for Monitoring During Anesthesia

E. Bruce Johnson, MD

JAMA. 1987;257(11):1472-1473. doi:10.1001/jama.1987.03390110048015.

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To the Editor.— I disagree strongly with the views expressed by Dr Peterson.¹ The article on standards for monitoring during anesthesia² does not do "a disservice to the practicing anesthesiologist and a service to the legal profession." Lamentably, it is long overdue.Dr Peterson argues against such standards and against one of the most useful monitors in the operating room (the end-tidal carbon dioxide monitor), using three arguments: his experience, the costs involved, and legal fears.He may not have encountered "a case in which the outcome could have been changed by the presence of such a monitor," but, with respect to his experience, if he hasn't used end-tidal carbon dioxide monitoring, on what can he base his opinion or assess outcome? Recent publications^3,4 disclose numerous tragedies that could have been prevented by better quality of care, including, but not limited to, end-tidal carbon dioxide monitoring.

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Johnson E. Standards for Monitoring During Anesthesia. JAMA. 1987;257(11):1472-1473. doi:10.1001/jama.1987.03390110048015.

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