Pulmonary artery catheter complications: report on a case of a knot accident and literature review
Autor(a) principal: | |
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Data de Publicação: | 2004 |
Outros Autores: | , , |
Tipo de documento: | Relatório |
Idioma: | eng |
Título da fonte: | Revista do Hospital das Clínicas |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0041-87812004000200006 |
Resumo: | A particular event concerning a Swan-Ganz catheter complication is reported. A 41-year-old woman was admitted at the emergency room of our hospital with massive gastrointestinal bleeding. A total gastrectomy was performed. During the postoperative period in the intensive care unit , the patient maintained hemodynamic instability. Invasive hemodynamic monitoring with a pulmonary artery catheter was then indicated. During the maneuvers to insert the catheter, a true knot formation was identified at the level of the superior vena cava. Several maneuvers by radiological endovascular invasive techniques allowed removal of the catheter. The authors describe the details of this procedure and provide comments regarding the various techniques that were employed in overcoming this event. A comprehensive review of evidence regarding the benefits and risks of pulmonary artery catheterization was performed. The consensus statement regarding the indications, utilization, and management of the pulmonary artery catheterization that were issued by a consensus conference held in 1996 are also discussed in detail. |
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Pulmonary artery catheter complications: report on a case of a knot accident and literature reviewIntensive care unitySwan-Ganz catheterizationInvasive hemodynamic monitoringPulmonary artery catheter complicationsPulmonary artery catheter knot formationA particular event concerning a Swan-Ganz catheter complication is reported. A 41-year-old woman was admitted at the emergency room of our hospital with massive gastrointestinal bleeding. A total gastrectomy was performed. During the postoperative period in the intensive care unit , the patient maintained hemodynamic instability. Invasive hemodynamic monitoring with a pulmonary artery catheter was then indicated. During the maneuvers to insert the catheter, a true knot formation was identified at the level of the superior vena cava. Several maneuvers by radiological endovascular invasive techniques allowed removal of the catheter. The authors describe the details of this procedure and provide comments regarding the various techniques that were employed in overcoming this event. A comprehensive review of evidence regarding the benefits and risks of pulmonary artery catheterization was performed. The consensus statement regarding the indications, utilization, and management of the pulmonary artery catheterization that were issued by a consensus conference held in 1996 are also discussed in detail.Faculdade de Medicina / Universidade de São Paulo - FM/USP2004-01-01info:eu-repo/semantics/reportinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0041-87812004000200006Revista do Hospital das Clínicas v.59 n.2 2004reponame:Revista do Hospital das Clínicasinstname:Universidade de São Paulo (USP)instacron:USP10.1590/S0041-87812004000200006info:eu-repo/semantics/openAccessLopes,Marcelo CruzCleva,Roberto deZilberstein,BrunoGama-Rodrigues,Joaquim Joséeng2004-04-23T00:00:00Zoai:scielo:S0041-87812004000200006Revistahttp://www.scielo.br/rhcPUBhttps://old.scielo.br/oai/scielo-oai.php||revista.hc@hcnet.usp.br1678-99030041-8781opendoar:2004-04-23T00:00Revista do Hospital das Clínicas - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Pulmonary artery catheter complications: report on a case of a knot accident and literature review |
title |
Pulmonary artery catheter complications: report on a case of a knot accident and literature review |
spellingShingle |
Pulmonary artery catheter complications: report on a case of a knot accident and literature review Lopes,Marcelo Cruz Intensive care unity Swan-Ganz catheterization Invasive hemodynamic monitoring Pulmonary artery catheter complications Pulmonary artery catheter knot formation |
title_short |
Pulmonary artery catheter complications: report on a case of a knot accident and literature review |
title_full |
Pulmonary artery catheter complications: report on a case of a knot accident and literature review |
title_fullStr |
Pulmonary artery catheter complications: report on a case of a knot accident and literature review |
title_full_unstemmed |
Pulmonary artery catheter complications: report on a case of a knot accident and literature review |
title_sort |
Pulmonary artery catheter complications: report on a case of a knot accident and literature review |
author |
Lopes,Marcelo Cruz |
author_facet |
Lopes,Marcelo Cruz Cleva,Roberto de Zilberstein,Bruno Gama-Rodrigues,Joaquim José |
author_role |
author |
author2 |
Cleva,Roberto de Zilberstein,Bruno Gama-Rodrigues,Joaquim José |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Lopes,Marcelo Cruz Cleva,Roberto de Zilberstein,Bruno Gama-Rodrigues,Joaquim José |
dc.subject.por.fl_str_mv |
Intensive care unity Swan-Ganz catheterization Invasive hemodynamic monitoring Pulmonary artery catheter complications Pulmonary artery catheter knot formation |
topic |
Intensive care unity Swan-Ganz catheterization Invasive hemodynamic monitoring Pulmonary artery catheter complications Pulmonary artery catheter knot formation |
description |
A particular event concerning a Swan-Ganz catheter complication is reported. A 41-year-old woman was admitted at the emergency room of our hospital with massive gastrointestinal bleeding. A total gastrectomy was performed. During the postoperative period in the intensive care unit , the patient maintained hemodynamic instability. Invasive hemodynamic monitoring with a pulmonary artery catheter was then indicated. During the maneuvers to insert the catheter, a true knot formation was identified at the level of the superior vena cava. Several maneuvers by radiological endovascular invasive techniques allowed removal of the catheter. The authors describe the details of this procedure and provide comments regarding the various techniques that were employed in overcoming this event. A comprehensive review of evidence regarding the benefits and risks of pulmonary artery catheterization was performed. The consensus statement regarding the indications, utilization, and management of the pulmonary artery catheterization that were issued by a consensus conference held in 1996 are also discussed in detail. |
publishDate |
2004 |
dc.date.none.fl_str_mv |
2004-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/report |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
report |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0041-87812004000200006 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0041-87812004000200006 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S0041-87812004000200006 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Faculdade de Medicina / Universidade de São Paulo - FM/USP |
publisher.none.fl_str_mv |
Faculdade de Medicina / Universidade de São Paulo - FM/USP |
dc.source.none.fl_str_mv |
Revista do Hospital das Clínicas v.59 n.2 2004 reponame:Revista do Hospital das Clínicas instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista do Hospital das Clínicas |
collection |
Revista do Hospital das Clínicas |
repository.name.fl_str_mv |
Revista do Hospital das Clínicas - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
||revista.hc@hcnet.usp.br |
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1754820894781341696 |