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Swan-Ganz catheterization

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Swan-Ganz catheterization
Interventional cardiology Insertion of a SG catheter into the pulmonary artery for hemodynamic monitoring of a critically ill Pt Indications Acute MI with hemodynamic instability, ARDS, suspected cardiac tamponade, CHF that responds poorly to diuretics, rupture of papillary muscle of mitral valves, severe hypotension, septic shock, monitoring of hemodynamics during cardiovascular surgery–eg, CABG Contraindications Severe coagulopathy, left BBB, hypothermia, inadequate monitoring equipment Complications Thrombosis, PE, infection, infarction, arrhythmias, perforation of pulmonary artery, hemothorax, pneumothorax, heart valve trauma. See Swan-Ganz catheter. Cf Left heart catheterization.


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Instrumentation was defined as receipt of Foley catheterization, chest tube, Swan-Ganz catheterization, mechanical ventilation, dialysis catheter, central line, arterial line, peripherally inserted central catheter, permanent central venous catheter, balloon pump, or intraabdominal or other surgery.
Swan-Ganz catheterization showed a mean pulmonary capillary wedge pressure of 27 mm Hg and central venous pressure of 19 mm Hg.
 
 
 
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