(b)

1. (1) If the execution of life-support measures requires the temporary suspension of monitoring otherwise required by this section, monitoring shall resume as soon as possible and practical.
2. (2) The physician shall identify the emergency in the patient's medical record and state the time when monitoring resumed.

3. (3) All of the following requirements shall apply:

   1. (A)

(i) A preoperative anesthetic risk evaluation shall be performed and documented in the patient's record in each case.

1. (ii) In an emergency during which an evaluation cannot be documented preoperatively without endangering the safety of the patient, the anesthetic risk evaluation shall be documented as soon as feasible;

   1. (B) Each patient receiving intravenous anesthesia shall have the blood pressure and heart rate measured and recorded at least every five (5) minutes;
   2. (C) Continuous electrocardiography monitoring shall be used for each patient receiving intravenous anesthesia;

   3. (D)

      1. (i) During any anesthesia other than local anesthesia and minimal sedation, patient oxygenation shall be continuously monitored with a pulse oximeter.
      2. (ii) Whenever an endotracheal tube or laryngeal mask airway is inserted, the correct functioning and positioning in the trachea shall be monitored throughout the duration of placement;
   4. (E) Additional monitoring for ventilation shall include palpation or observation of the reservoir breathing bag and auscultation of breath sounds;

   5. (F) Additional monitoring of blood circulation shall include at least one (1) of the following:

      1. (i) Palpation of the pulse;
      2. (ii) Auscultation of heart sounds;
      3. (iii) Monitoring of a tracing of intra-arterial pressure;
      4. (iv) Pulse plethysmography; or
      5. (v) Ultrasound peripheral pulse monitoring;
   6. (G) When ventilation is controlled by an automatic mechanical ventilator, the functioning of the ventilator shall be monitored continuously with a device having an audible alarm to warn of disconnection of any component of the breathing system; and
   7. (H) During any anesthesia using an anesthesia machine, the concentration of oxygen in the patient's breathing system shall be measured by an oxygen analyzer with an audible alarm to warn of low oxygen concentration.