Calzada TP, Montelongo FJ, Nava LJA, Carmona DA

Language: Spanish
References: 29
Page: 76-84
PDF size: 197.06 Kb.

ABSTRACT

Background: Use of a pulmonary artery catheter (Swan-Ganz) has been discussed because it does not offer changes in the mortality of critically ill patients; however, it is still a useful tool for hemodynamic monitoring.
Objective: To offer an alternative in the placement of Swan-Ganz catheter by ultrasound in less time and without complications.
Material and methods: A pilot, prospective, observational, cross-sectional and descriptive study was conducted. Placing 26 patients with various pathologies that required aminergic or inotropic delivery, a pulmonary artery catheter; evaluating placement times and associated complications after placement.
Results: A mean of 91.46 seconds of placement (range of 60-122 seconds) was obtained after insertion of the tip of the catheter by venodisection and 0% of complications in 26 patients.
Discussion: The use of ultrasound offers an alternate method of placement of the catheter without fluoroscopy support, monitoring curves or intracavitary pressures; and reduces complications.
Conclusions: The placement of Swan-Ganz by ultrasound is an alternative and safe method for placement with an average time of 91 seconds in its insertion. A larger sample is required to determine if the method is effective and perhaps a multicenter study.

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