Complications of the flow-directed pulmonary artery catheter: A prospective analysis in 219 patients.

Abstract:

:In order to determine and analyze the complication rate of the insertion and maintenance of the balloon-tipped, flow-directed pulmonary artery catheter (PAC), the authors prospectively studied the use of 320 catheters in 219 critically ill patients. Mean patient age was 53 +/- 1 years, and 36% had a history of cardiovascular disease. Mean duration of catheterization averaged 76 +/- 3 h. Major complications occurred in 3% of catheterizations. These included six pneumothoraces; three arrhythmias requiring treatment, one of which was fatal; and one subclavian vein thrombosis. Site complications occurred more frequently in catheters maintained longer than 72 h. These findings suggest that, when indicated in the care of critically ill patients, the properly placed and maintained PAC has an acceptably low morbidity and mortality rate, particularly when used for 72 h or less.

journal_name

Crit Care Med

journal_title

Critical care medicine

authors

Sise MJ,Hollingsworth P,Brimm JE,Peters RM,Virgilio RW,Shackford SR

doi

10.1097/00003246-198104000-00006

subject

Has Abstract

pub_date

1981-04-01 00:00:00

pages

315-8

issue

4

eissn

0090-3493

issn

1530-0293

journal_volume

9

pub_type

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