Document Detail


A prospective analysis of 1,400 pulmonary artery catheterizations in patients undergoing cardiac surgery.
MedLine Citation:
PMID:  3766094     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
During 1983 and 1984, 1305 patients underwent 1,400 pulmonary artery (PA) catheterizations. Successful placement was achieved in 1397 (99.6%) of 1,403 attempts. The catheters were inserted via the right internal jugular vein on 1364 occasions. The median duration of monitoring was 28 h with a range from 3 to 220 h. Central venous puncture complications included carotid artery puncture in 67 instances (4.8%) and pneumothorax in one patient. Insertion of the catheters was associated with supraventricular arrhythmias on 11 occasions, ventricular arrhythmias on 930 (66.4%), right bundle branch block on two and a total heart block on one occasion. Eighteen (2.3%) of the 794 cultured catheter tips were positive. An in situ time of more than 72 h was associated with a significantly higher percentage (7.2%) of positive tip cultures compared with an in situ time of less than 72 h (P less than 0.01). Repeated PA catheterization was not associated with significantly more complications than the initial catheterization. The results show that monitoring with a PA catheter in cardiac surgical patients is associated with a low incidence of morbidity.
Authors:
J Damen; D Bolton
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acta anaesthesiologica Scandinavica     Volume:  30     ISSN:  0001-5172     ISO Abbreviation:  Acta Anaesthesiol Scand     Publication Date:  1986 Jul 
Date Detail:
Created Date:  1986-10-31     Completed Date:  1986-10-31     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0370270     Medline TA:  Acta Anaesthesiol Scand     Country:  DENMARK    
Other Details:
Languages:  eng     Pagination:  386-92     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Arrhythmias, Cardiac / etiology*
Bacteria / isolation & purification
Bacterial Infections / etiology
Cardiac Surgical Procedures* / mortality
Carotid Artery Injuries*
Catheterization / adverse effects*
Humans
Pneumothorax / etiology*
Prospective Studies
Pulmonary Artery*
Wounds, Penetrating / etiology*

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


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