Complications associated with pulmonary artery catheters: A comprehensive clinical review

D. C. Evans; V. A. Doraiswamy; M. P. Prosciak; M. Silviera; M. J. Seamon; V. Rodriguez Funes; J. Cipolla; C. F. Wang; S. Kavuturu; D. A. Torigian; C. H. Cook; D. E. Lindsey; S. M. Steinberg; S. P. Stawicki

doi:10.1177/145749690909800402

Complications associated with pulmonary artery catheters: A comprehensive clinical review

D. C. Evans, V. A. Doraiswamy, M. P. Prosciak, M. Silviera, M. J. Seamon, V. Rodriguez Funes, J. Cipolla, C. F. Wang, S. Kavuturu, D. A. Torigian, C. H. Cook, D. E. Lindsey, S. M. Steinberg, S. P. Stawicki

Research output: Contribution to journal › Review article › peer-review

123 Scopus citations

Abstract

Care for the critically ill patient requires maintenance of adequate tissue perfusion/oxygenation. Continuous hemodynamic monitoring is frequently utilized to achieve these objectives. Pulmonary artery catheters (PAC) allow measurement of hemodynamic variables that cannot be measured reliably or continuously by less invasive means. Inherent to every medical intervention are risks associated with that intervention. This review categorizes complications associated with the PAC into four broad groups - complications of central venous access; complications related to PAC insertion and manipulation; complications associated with short- or long-term presence of the PAC in the cardiovascular system; and errors resulting from incorrect interpretation/use of PAC-derived data. We will discuss each of these four broad categories, followed by in-depth descriptions of the most common and most serious individual complications.

Original language	English
Pages (from-to)	199-208
Number of pages	10
Journal	Scandinavian Journal of Surgery
Volume	98
Issue number	4
DOIs	https://doi.org/10.1177/145749690909800402
State	Published - 2009

Keywords

Arrhythmia
Arterial injury
Complications
Data interpretation
Hemodynamic monitoring
Infection
Pneumothorax
Pulmonary artery catheter
Thrombosis
Venous injury

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Evans, D. C., Doraiswamy, V. A., Prosciak, M. P., Silviera, M., Seamon, M. J., Rodriguez Funes, V., Cipolla, J., Wang, C. F., Kavuturu, S., Torigian, D. A., Cook, C. H., Lindsey, D. E., Steinberg, S. M., & Stawicki, S. P. (2009). Complications associated with pulmonary artery catheters: A comprehensive clinical review. Scandinavian Journal of Surgery, 98(4), 199-208. https://doi.org/10.1177/145749690909800402

@article{ee282b28da964f819eeac8191b5ebb82,

title = "Complications associated with pulmonary artery catheters: A comprehensive clinical review",

abstract = "Care for the critically ill patient requires maintenance of adequate tissue perfusion/oxygenation. Continuous hemodynamic monitoring is frequently utilized to achieve these objectives. Pulmonary artery catheters (PAC) allow measurement of hemodynamic variables that cannot be measured reliably or continuously by less invasive means. Inherent to every medical intervention are risks associated with that intervention. This review categorizes complications associated with the PAC into four broad groups - complications of central venous access; complications related to PAC insertion and manipulation; complications associated with short- or long-term presence of the PAC in the cardiovascular system; and errors resulting from incorrect interpretation/use of PAC-derived data. We will discuss each of these four broad categories, followed by in-depth descriptions of the most common and most serious individual complications.",

keywords = "Arrhythmia, Arterial injury, Complications, Data interpretation, Hemodynamic monitoring, Infection, Pneumothorax, Pulmonary artery catheter, Thrombosis, Venous injury",

author = "Evans, {D. C.} and Doraiswamy, {V. A.} and Prosciak, {M. P.} and M. Silviera and Seamon, {M. J.} and {Rodriguez Funes}, V. and J. Cipolla and Wang, {C. F.} and S. Kavuturu and Torigian, {D. A.} and Cook, {C. H.} and Lindsey, {D. E.} and Steinberg, {S. M.} and Stawicki, {S. P.}",

year = "2009",

doi = "10.1177/145749690909800402",

language = "English",

volume = "98",

pages = "199--208",

journal = "Scandinavian Journal of Surgery",

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Evans, DC, Doraiswamy, VA, Prosciak, MP, Silviera, M, Seamon, MJ, Rodriguez Funes, V, Cipolla, J, Wang, CF, Kavuturu, S, Torigian, DA, Cook, CH, Lindsey, DE, Steinberg, SM & Stawicki, SP 2009, 'Complications associated with pulmonary artery catheters: A comprehensive clinical review', Scandinavian Journal of Surgery, vol. 98, no. 4, pp. 199-208. https://doi.org/10.1177/145749690909800402

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AU - Evans, D. C.

AU - Doraiswamy, V. A.

AU - Prosciak, M. P.

AU - Silviera, M.

AU - Seamon, M. J.

AU - Rodriguez Funes, V.

AU - Cipolla, J.

AU - Wang, C. F.

AU - Kavuturu, S.

AU - Torigian, D. A.

AU - Cook, C. H.

AU - Lindsey, D. E.

AU - Steinberg, S. M.

AU - Stawicki, S. P.

PY - 2009

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N2 - Care for the critically ill patient requires maintenance of adequate tissue perfusion/oxygenation. Continuous hemodynamic monitoring is frequently utilized to achieve these objectives. Pulmonary artery catheters (PAC) allow measurement of hemodynamic variables that cannot be measured reliably or continuously by less invasive means. Inherent to every medical intervention are risks associated with that intervention. This review categorizes complications associated with the PAC into four broad groups - complications of central venous access; complications related to PAC insertion and manipulation; complications associated with short- or long-term presence of the PAC in the cardiovascular system; and errors resulting from incorrect interpretation/use of PAC-derived data. We will discuss each of these four broad categories, followed by in-depth descriptions of the most common and most serious individual complications.

AB - Care for the critically ill patient requires maintenance of adequate tissue perfusion/oxygenation. Continuous hemodynamic monitoring is frequently utilized to achieve these objectives. Pulmonary artery catheters (PAC) allow measurement of hemodynamic variables that cannot be measured reliably or continuously by less invasive means. Inherent to every medical intervention are risks associated with that intervention. This review categorizes complications associated with the PAC into four broad groups - complications of central venous access; complications related to PAC insertion and manipulation; complications associated with short- or long-term presence of the PAC in the cardiovascular system; and errors resulting from incorrect interpretation/use of PAC-derived data. We will discuss each of these four broad categories, followed by in-depth descriptions of the most common and most serious individual complications.

KW - Arrhythmia

KW - Arterial injury

KW - Complications

KW - Data interpretation

KW - Hemodynamic monitoring

KW - Infection

KW - Pneumothorax

KW - Pulmonary artery catheter

KW - Thrombosis

KW - Venous injury

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JO - Scandinavian Journal of Surgery

JF - Scandinavian Journal of Surgery

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ER -

Complications associated with pulmonary artery catheters: A comprehensive clinical review

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