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Diagnosis and Rescue of a Kinked Pulmonary Artery Catheter
Joint Authors
Mouawad, Nicolas J.
Stein, Erica J.
Moran, Kenneth R.
Go, Michael R.
Papadimos, Thomas J.
Source
Case Reports in Anesthesiology
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-05-13
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Invasive hemodynamic monitoring with a pulmonary catheter has been relatively routine in cardiovascular and complex surgical operations as well as in the management of critical illnesses.
However, due to multiple potential complications and its invasive nature, its use has decreased over the years and less invasive methods such as transesophageal echocardiography and hemodynamic sensors have gained widespread favor.
Unlike these less invasive forms of hemodynamic monitoring, pulmonary artery catheters require an advanced understanding of cardiopulmonary physiology, anatomy, and the potential for complications in order to properly place, manage, and interpret the device.
We describe a case wherein significant resistance was encountered during multiple unsuccessful attempts at removing a patient’s catheter secondary to kinking and twisting of the catheter tip.
These attempts to remove the catheter serve to demonstrate potential rescue options for such a situation.
Ultimately, successful removal of the catheter was accomplished by simultaneous catheter retraction and sheath advancement while gently pulling both objects from the cannulation site.
In addition to being skilled in catheter placement, it is imperative that providers comprehend the risks and complications of this invasive monitoring tool.
American Psychological Association (APA)
Mouawad, Nicolas J.& Stein, Erica J.& Moran, Kenneth R.& Go, Michael R.& Papadimos, Thomas J.. 2015. Diagnosis and Rescue of a Kinked Pulmonary Artery Catheter. Case Reports in Anesthesiology،Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1058066
Modern Language Association (MLA)
Mouawad, Nicolas J.…[et al.]. Diagnosis and Rescue of a Kinked Pulmonary Artery Catheter. Case Reports in Anesthesiology No. 2015 (2015), pp.1-4.
https://search.emarefa.net/detail/BIM-1058066
American Medical Association (AMA)
Mouawad, Nicolas J.& Stein, Erica J.& Moran, Kenneth R.& Go, Michael R.& Papadimos, Thomas J.. Diagnosis and Rescue of a Kinked Pulmonary Artery Catheter. Case Reports in Anesthesiology. 2015. Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1058066
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1058066