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5.2.4 - Pulmonary Artery Catheterisation: Insertion and Interpretation

from Section 5.2 - Practical Cardiovascular System

Published online by Cambridge University Press:  27 July 2023

By
Suehana Rahman
Edited by
Ned Gilbert-Kawai ,
Debashish Dutta  and
Carl Waldmann
Ned Gilbert-Kawai
Affiliation:
The Royal Liverpool Hospital
Debashish Dutta
Affiliation:
Princess Alexandra Hospital NHS Trust, Harlow
Carl Waldmann
Affiliation:
Royal Berkshire Hospital, Reading
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Summary

Key Learning Points

  1. 1. Pulmonary artery catheters are an invasive monitoring device used to measure cardiac output, mixed venous oxygen saturations and intra-cardiac pressures.

  2. 2. They are useful in the diagnosis and assessment of critically unwell patients in the context of unexplained shock, pulmonary artery hypertension and severe cardiogenic shock, and in the perioperative management of patients with severe cardiopulmonary disease undergoing major surgery.

  3. 3. Pulmonary artery catheters are used as both a diagnostic and a monitoring tool and, in themselves, are not a therapeutic intervention.

  4. 4. Accurate interpretation of the data produced is essential to its use.

  5. 5. Complications are largely related to catheter insertion and advancement.

Keywords

pulmonary artery cathetercardiac outputpulmonary artery hypertension
Type
Chapter
Information
Intensive Care Medicine
The Essential Guide
 , pp. 571 - 575
Publisher: Cambridge University Press
Print publication year: 2021

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References

References and Further Reading

American Society of Anesthesiologists Task Force on Pulmonary Artery Catheterization. Practice guidelines for pulmonary artery catheterization: an updated report by the American Society of Anesthesiologists Task Force on Pulmonary Artery Catheterization. Anesthesiology 2003;99:988–1014.Google Scholar
Harvey, S, Young, D, Brampton, W, et al. Pulmonary artery catheters for adult patients in intensive care. Cochrane Database Syst Rev 2006;3:CD003408.Google Scholar
Ikuta, K, Wang, Y, Robinson, A, et al. National trends in use and outcomes of pulmonary artery catheters among Medicare beneficiaries, 1999–2013. JAMA Cardiol 2017;2:908–13.CrossRefGoogle ScholarPubMed
Rajaram, SS, Desai, NK, Kalra, A, et al. Pulmonary artery catheters for adult patients in intensive care. Cochrane Database Syst Rev 2013;2:CD003408.Google Scholar
Whitener, S, Konoske, R, Mark, JB. Pulmonary artery catheter. Best Pract Res Clin Anaesthesiol 2014;28:323–35.CrossRefGoogle ScholarPubMed

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