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Evans DC, Doraiswamy VA, Prosciak MP, Silviera M, Seamon MJ, Funes VR, Cipolla J, Wang CF, Kavuturu S, Torigian DA, Cook CH, Lindsey DE, Steinberg SM, Stawicki SP. Complications Associated with Pulmonary Artery Catheters: A Comprehensive Clinical Review. Scand J Surg 2009; 98:199-208. [DOI: 10.1177/145749690909800402] [Citation(s) in RCA: 110] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
Care for the critically ill patient requires maintenance of adequate tissue perfusion/oxygenation. Continuous hemodynamic monitoring is frequently utilized to achieve these objectives. Pulmonary artery catheters (PAC) allow measurement of hemodynamic variables that cannot be measured reliably or continuously by less invasive means. Inherent to every medical intervention are risks associated with that intervention. This review categorizes complications associated with the PAC into four broad groups — Complications of central venous access; complications related to PAC insertion and manipulation; complications associated with short- or long-term presence of the PAC in the cardiovascular system; and errors resulting from incorrect interpretation/use of PAC-derived data. We will discuss each of these four broad categories, followed by in-depth descriptions of the most common and most serious individual complications.
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Affiliation(s)
- D. C. Evans
- Department of Surgery, Division of Critical Care, Trauma, and Burn, The Ohio State University Medical Center, Columbus (OH), U.S.A
- OPUS 12 Foundation, Inc., Columbus (OH), U.S.A
| | - V. A. Doraiswamy
- Department of Medicine, University of Arizona College of Medicine, Tucson, (AZ), U.S.A
- OPUS 12 Foundation, Inc., Columbus (OH), U.S.A
| | - M. P. Prosciak
- The Johns Hopkins Burn Center, Baltimore (MD), U.S.A
- OPUS 12 Foundation, Inc., Columbus (OH), U.S.A
| | - M. Silviera
- Department of Surgery, Section of Trauma/Critical Care, Temple University School of Medicine, Philadelphia (PA), U.S.A
| | - M. J. Seamon
- Department of Surgery, Section of Trauma/Critical Care, Temple University School of Medicine, Philadelphia (PA), U.S.A
- OPUS 12 Foundation, Inc., Columbus (OH), U.S.A
| | - V. Rodriguez Funes
- Research Unit, Hospital Nacional Rosales, El Salvador
- OPUS 12 Foundation, Inc., Columbus (OH), U.S.A
| | - J. Cipolla
- Regional Level I Trauma Center, St Luke's Hospital and Health Network, Bethlehem (PA) U.S.A
- OPUS 12 Foundation, Inc., Columbus (OH), U.S.A
| | - C. F. Wang
- Department of Surgery, Division of Critical Care, Trauma, and Burn, The Ohio State University Medical Center, Columbus (OH), U.S.A
- OPUS 12 Foundation, Inc., Columbus (OH), U.S.A
| | - S. Kavuturu
- Department of Surgery, Bronx Lebanon Medical Center, Bronx (NY), U.S.A
- OPUS 12 Foundation, Inc., Columbus (OH), U.S.A
| | - D. A. Torigian
- Department of Radiology, University of Pennsylvania Medical Center, Pennsylvania (PA), U.S.A
| | - C. H. Cook
- Department of Surgery, Division of Critical Care, Trauma, and Burn, The Ohio State University Medical Center, Columbus (OH), U.S.A
| | - D. E. Lindsey
- Department of Surgery, Division of Critical Care, Trauma, and Burn, The Ohio State University Medical Center, Columbus (OH), U.S.A
- OPUS 12 Foundation, Inc., Columbus (OH), U.S.A
| | - S. M. Steinberg
- Department of Surgery, Division of Critical Care, Trauma, and Burn, The Ohio State University Medical Center, Columbus (OH), U.S.A
- OPUS 12 Foundation, Inc., Columbus (OH), U.S.A
| | - S. P. Stawicki
- Department of Surgery, Division of Critical Care, Trauma, and Burn, The Ohio State University Medical Center, Columbus (OH), U.S.A
- OPUS 12 Foundation, Inc., Columbus (OH), U.S.A
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