AW: [HSF] Pulmonary Artery Catheters !-Swann Ganz catheters

[psimha]

Last week, my anesthesiologist was manipulating the Swan Ganz catheter 
after CPB (refloating it as it was not giving a proper trace) when I saw 
the cathetter coming out through my RA suture line !! Luckily it 
happened with the chest open !! i ws pretty stunned and unfortunately 
did not photograph it.
Prasanna
Dr. Roberto Battellini wrote:
> Sorry, I referred to Swann Ganz perforations.
> Roberto
>
> -----Ursprüngliche Nachricht-----
> Von: openheart-l-bounces at lists.hsforum.com
> [mailto:openheart-l-bounces at lists.hsforum.com] Im Auftrag von Dr. Roberto
> Battellini
> Gesendet: Freitag, 3. November 2006 18:01
> An: OpenHeart-L at lists.hsforum.com
> Betreff: AW: [HSF] Pulmonary Artery Catheters !
>
> As less as possible. We had here 2 cases in the last 5 years of perforation
> of the pulmonary arteries and terrible intrapulmonary bleeding, they finally
> died. One of them was a case of mine, 80 years old, needed right
> pneumonectomy...game over--> for Wikipedia
> Roberto
>
> -----Ursprüngliche Nachricht-----
> Von: openheart-l-bounces at lists.hsforum.com
> [mailto:openheart-l-bounces at lists.hsforum.com] Im Auftrag von Nasser F.
> Abou'Seada
> Gesendet: Freitag, 3. November 2006 11:30
> An: OpenHeart-L at lists.hsforum.com
> Betreff: RE: [HSF] Pulmonary Artery Catheters !
>
> How frequently do members of the forum use PA Catheter ? 
> - Comments ??
>
> NFA
>
> HEART CATHETERS DO NOT BENEFIT PATIENTS 
>
> (Editorial: Pulmonary artery catheters)
> http://bmj.com/cgi/content/full/333/7575/930 
>
>
>
> Doctors should probably stop using pulmonary artery catheters because they
> do not benefit patients, say doctors from Australia in this week's BMJ. 
>
> The pulmonary artery catheter was invented in 1968. It enabled bedside
> monitoring in critically ill patients by measuring heart output and
> capillary pressure in the lungs and became widely used in intensive care
> units. 
>
> But reports of serious complications soon appeared and arguments for and
> against its use have continued ever since. 
>
> The most recent evaluation, commissioned by the NHS Health Technology
> Assessment (HTA) programme, found that pulmonary artery catheters do not
> benefit patients and concluded that withdrawing them from UK intensive care
> units would be cost effective. 
>
> Another recent trial in patients with acute lung injury confirmed these
> findings, while an analysis of 13 trials reported no overall effect of using
> these devices on mortality or length of hospital stay. 
>
> So what should clinicians do with all this information? 
>
> Given that the use of pulmonary artery catheters increases the risk of
> important complications, continued use of these devices is difficult to
> defend, say the authors. 
>
> The onus is now on the proponents of the pulmonary artery catheter and
> related devices to limit their use to clinical trials and to show that
> protocols based on such devices do benefit patients, they conclude.
>
>
> _______________________________________________
> OpenHeart-L mailing list
>
> Send postings to:
>  OpenHeart-L at lists.hsforum.com
>
> To UNSUBSCRIBE, to CHANGE email address, or to view archives:
> http://mmp.cjp.com/mailman/listinfo/openheart-l
>
> All messages transmitted by the OpenHeart-L are subject to the policies and 
> disclaimers posted at:
> http://www.hsforum.com/listdisclaim
> -----------------------------------------
>
> _______________________________________________
> OpenHeart-L mailing list
>
> Send postings to:
>  OpenHeart-L at lists.hsforum.com
>
> To UNSUBSCRIBE, to CHANGE email address, or to view archives:
> http://mmp.cjp.com/mailman/listinfo/openheart-l
>
> All messages transmitted by the OpenHeart-L are subject to the policies and 
> disclaimers posted at:
> http://www.hsforum.com/listdisclaim
> -----------------------------------------
>
> _______________________________________________
> OpenHeart-L mailing list
>
> Send postings to:
>  OpenHeart-L at lists.hsforum.com
>
> To UNSUBSCRIBE, to CHANGE email address, or to view archives:
> http://mmp.cjp.com/mailman/listinfo/openheart-l
>
> All messages transmitted by the OpenHeart-L are subject to the policies and 
> disclaimers posted at:
> http://www.hsforum.com/listdisclaim
> -----------------------------------------
>
>
>