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

[Nasser F. Abou'Seada]

!!!!!!!! ........ I can imagine your face then ....... what did you do ???? 

I have had a senior staff during my residency who used to shout at the
anaesthetist telling him that his lines are coming out in the RA .... asking
him to come to have a look ......... just to ... "BANG" ... hit his head
with his own once the anaesthetist head crosses the "Blood Brain Barrier"
..... a new trend for all new anaesthetists .... !!!!! ... I had my own
experience though ... 

NFA

> -----Original Message-----
> From: openheart-l-bounces at lists.hsforum.com [mailto:openheart-l-
> bounces at lists.hsforum.com] On Behalf Of psimha
> Sent: Friday, November 03, 2006 12:08 PM
> To: OpenHeart-L at lists.hsforum.com
> Subject: Re: AW: [HSF] Pulmonary Artery Catheters !-Swann Ganz catheters
> 
> 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.
> >
> >
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