Document Detail

Complications of invasive monitoring.
MedLine Citation:
PMID:  12298307     Owner:  NLM     Status:  MEDLINE    
Invasive monitoring in anesthesiology is relatively safe. Arterial catheterization in particular has an extremely low rate of serious complications. Radial, brachial, and femoral artery catheterization sites appear to have similar and low complication rates. CVP and PA catheters are more dangerous and entail potentially fatal complications. The most troublesome complication with CVP catheters is perforation of the heart or cava, which should be avoidable under most circumstances if care is taken to position the catheter properly, outside the heart. Chest radiography should be used to specifically ascertain that the catheter is not in a dangerous location. The most troublesome complication with PA catheters is perforation of the pulmonary artery. This is probably a sporadic problem, and it is not necessarily avoidable by adherence to particular techniques. It should be assumed that hemoptysis in a patient with a PA catheter is caused by perforation of the pulmonary artery until proven otherwise, and it should be treated aggressively.
T Andrew Bowdle
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Anesthesiology clinics of North America     Volume:  20     ISSN:  0889-8537     ISO Abbreviation:  Anesthesiol Clin North America     Publication Date:  2002 Sep 
Date Detail:
Created Date:  2002-09-26     Completed Date:  2003-03-25     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  8810131     Medline TA:  Anesthesiol Clin North America     Country:  United States    
Other Details:
Languages:  eng     Pagination:  571-588     Citation Subset:  IM    
Department of Anesthesiology, University of Washington, Box 356540, Seattle, WA 98195, USA.
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MeSH Terms
Catheterization / adverse effects
Catheterization, Central Venous / adverse effects
Catheterization, Swan-Ganz / adverse effects
Equipment Failure
Monitoring, Intraoperative / adverse effects*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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