Download Swan-Ganz Catheter

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Swan-Ganz CatheterBalloon flotation
Pulmonary Artery catheter
Use for monitoring
critically ill patients
(mostly in the ICU)
Catheterization only
possible on the right side
of the heart
Catheter is hooked up to a
Cardiac Output computer
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1929- Dr. Warner
Forssman proven that
right heart catheterization
is possible in humans
• 1964- Dr. Bradley
introduced small
diagnostic catheter
• 1970- Balloon Flotation
Catheter by Doctor H.J.C
Swan and William Ganz
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Detection of Heart
Failure and Septic
Shock
• Measures indirect left
ventricular pressure
• Measure Cardiac
Output by
thermodilution for:
Right Atrial and Right
Ventricular pacing and
right-sided pressures
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Wireless
Radiofrequency; no
direct connection to
Cardiac Output
Computer
Reduced hospitalization
among heart failure
patients
Longer duration of use
No batteries required
No wearable parts
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Ability to monitor
patient’s blood flow
through the heart
when critically ill
• Detect of the
effectiveness of
certain medications,
Heart Failure, and
Shock
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Over usage of the
balloon
• If fluid bag is not
under pressure, patient
can bleed to death
• Ventricular
tachycardia can occur
if catheter slides back
into the Right
Ventricle
• Short duration of use
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Stricter regulations for procedures/requirements
Alternative technology to Swan-Ganz Catheter
Further research on Pulmonary Artery
catheterization
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Palmieri, T. “The Inventors of the Swan-Ganz Catheter: H.J.C Swan and William Ganz”. Current Surgery.
2003; 60(3): 351-2.
Chatterjee, Kanu. “The Swan-Ganz Catheter: Past, Present, and Future: A viewpoint”. Circulation. 2009;
119:147-152.
IN VIVO: Analysis Techniques- Surgical Operations.
<ufrg.br/imunovent/molecular_immunology/invivo_surgical.htm>.
Wikipedia: Pulmonary artery catheter. <en.wikipedia.org/wiki/Pulmonary_artery_catheter>.
Verdejo H, et al. “Comparsion of a Radiofrequency-Based Wireless Pressure Sensor to Swan-Ganz
Catheter and Echocardiograpy for Ambulatory Assessment of Pulmonary Artery Pressure in Heart
Failure”. Journal of American College of Cardiology. 2007; 50(25): 2375-82.
Cuasay, R., Lemole, G. “Rupture of Pulmonary Artery by Swan-Ganz Catheter: A Cause of Postoperative
Bleeding after Open-Heart Operation”. The Annals of Thoracic Surgery. 1981; 32: 415-417.
Medline: Swan-Ganz- right heart catheterization. <nlm.hih.gov/medlineplus/article/003870.htm>.
Bhattacharya, J., Shaikh, A., Vytlacil, E. “Treatment effect bounds: An application to Swan-Ganz
catheterization”. Journal of Econometrics. 2012; 168: 223-243.
The Free Dictionary: Catheter. <medical-dictionary.thefreedictionary.com/Swan-Ganz+catheter>.
Creagh Brown: Haemodynamic monitoring. <creaghbrown.co.uk/anae/hdmon.htm>.
Cardiovasular Ultrasound: X-ray Swan-Ganz.
<cardiovasicularultrasound.com/content/6/1/50/figure/F2?highres=y>.