Abstract
The pulmonary artery catheter has a rich history in modern critical care medicine and provided the basis for the science of advanced hemodynamic monitoring. While significant controversy exists regarding the current utility of the catheter, an understanding of the hemodynamic data provided by the pulmonary artery catheter, as well as limitations and potential complications, is essential for any critical care practitioner. When used correctly, this invasive monitoring device can provide a wealth of information regarding the patient’s cardiopulmonary function as well as the impact of therapeutic interventions. However, the nuances of appropriate catheter use, data interpretation, and application are complex and easily misinterpreted even by seasoned intensivists.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Swan H, Ganz W, Forrester J, Marcus H, Diamond G, Chonette D. Catheterization of the heart in man with use of a flow-directed balloon-tipped catheter. N Engl J Med. 1970;283:447–51.
Gasparovic H, Gabelica R, Ostojic Z, Petricevic M, Ivancan V, Biocina B. Diagnostic accuracy of central venous saturation in estimating mixed venous saturation is proportional to cardiac performance among cardiac surgery patient. J Crit Care. 2014;29(5):828–34.
Dueck MH, Klimek M, Appenrodt S, Weigand C, Boerner U. Trends but not individual values of central venous oxygen saturation agree with mixed venous oxygen saturation during varying hemodynamic conditions. J Am Soc Anesthesiol. 2005;103(2):249–57.
Marini JJ, Wheeler AP, editors. Critical care medicine: the essentials. 3rd ed. Philadelphia: Lippincott Williams and Wilkins; 2006. p. 33–4.
Weiner RA, Welch HG. Trends in the use of the pulmonary artery catheter in the United States, 1993–2004. JAMA. 2007;298:423–9.
Gore JM, Goldberg RJ, Spodick DH, Alpert JS, Dalen JE. A community-wide assessment of the use of pulmonary artery catheters in patients with acute myocardial infarction. Chest. 1987;92:721–7.
Cohen MG, Kelly RV, Kong DF, Menon V, Shah M, Ferreira J, Pieper KS, Criger D, Poggio R, Ohman EM, et al. Pulmonary artery catheterization in acute coronary syndromes: insights from the GUSTO IIb and GUSTO trials. Am J Med. 2005;118:482–8.
Ruisi CP, Goldberg RJ, Kennelly BM, Goodman SG, Lopez-Sendon J, Granger CB, Avezum A, Eagle KA, Fitzgerald G, Gore JM, et al. Pulmonary artery catheterization in patients with acute coronary syndromes. Am Heart J. 2009;158:170–6.
Wheeler AP, Bernard GR, Thompson BT, Schoenfeld D, Wiedemann HP, de Boisblanc B, Connors AF Jr, Hite RD, Harabin AL. National Heart, Lung, and Blood Institute Acute Respiratory Distress Syndrome (ARDS) Clinical Trials Network: Pulmonary-artery versus central venous catheter to guide treatment of acute lung injury. N Engl J Med. 2006;354:2213–24.
Sandham JD, Hull RD, Brant RF, Knox L, Pineo GF, Doig CJ, Laporta DP, Viner S, Passerini L, Devitt H, et al. A randomized, controlled trial of the use of pulmonary artery catheters in high-risk surgical patients. N Engl J Med. 2003;348:5–14.
McKinley BA, Sucher JF, Todd SR, Gonzalez EA, Kozar RA, Sailors RM, Moore FA. Central venous pressure versus pulmonary artery catheter-directed shock resuscitation. Shock. 2009;32:463–70.
Barmparas G, Inaba K, Georgiou C, Hadjizacharia P, Chan LS, Demetriades D, Friese R, Rhee P. Swan-Ganz catheter use in trauma patients can be reduced without negatively affecting outcomes. World J Surg. 2011;35:1809–17.
Binanay C, Califf RM, Hasselblad V, O’Connor CM, Shah MR, Sopko G, Stevenson LW, Francis GS, Leier CV, Miller LW. Evaluation study of congestive heart failure and pulmonary artery catheterization effectiveness: the ESCAPE trial. JAMA. 2005;294:1625–33.
Gidwani UK, Goel S. The pulmonary artery catheter in 2015: the swan and the phoenix. Cardiol Rev. 2016;24(1):1–13.
Wilkins RL, Stoller JK, Kacmarek RM. Egan’s fundamentals of respiratory care. 9th ed. St Louis: Mosby; 2009.
Marini JJ. Respiratory medicine and intensive care for the house officer. Baltimore: Williams & Wilkins; 1991.
Disease-a-month. The Swan-Ganz Catheter. Dis Mon. 1991;37(8):509–43.
Rudziński PN, et al. Pulmonary artery rupture as a complication of Swan-Ganz catheter application. Postępy W Kardiologii Interwencyjnej = Adv Interv Cardiol. 2016;12(2):135–9. https://doi.org/10.5114/aic.2016.59364.
Smith M, et al. Nonsurgical removal of knotted pulmonary artery catheter. J Med Cases [Online]. 2013;4(3):163–5.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer International Publishing AG, part of Springer Nature
About this chapter
Cite this chapter
Eckert, M.J., Martin, M.J. (2018). Pulmonary Artery Catheter. In: Salim, A., Brown, C., Inaba, K., Martin, M. (eds) Surgical Critical Care Therapy . Springer, Cham. https://doi.org/10.1007/978-3-319-71712-8_66
Download citation
DOI: https://doi.org/10.1007/978-3-319-71712-8_66
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-71711-1
Online ISBN: 978-3-319-71712-8
eBook Packages: MedicineMedicine (R0)