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Medicina crítica (Colegio Mexicano de Medicina Crítica)
versión impresa ISSN 2448-8909
Resumen
CALZADA TORRES, Pablo; MONTELONGO, Felipe de Jesús; NAVA LOPEZ, Jorge Arturo y CARMONA DOMINGUEZ, Aurea. Efficiency and safety of placement of pulmonary artery catheter guided by ultrasound. Med. crít. (Col. Mex. Med. Crít.) [online]. 2018, vol.32, n.2, pp.76-84. ISSN 2448-8909.
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.
Palabras llave : Swan Ganz catheter; FATE protocol; pulmonary artery.