Swan-Ganz catheter: comparison of insertion techniques. 1980

A E Nehme

One hundred eighty-nine Swan-Ganz catheters were inserted in 165 critically ill patients with different techniques. Percutaneous catheterization through the subclavian, internal jugular, and antecubital veins and antecubital venous cutdown with or without fluoroscopy were compared. The antecubital approach, percutaneously or through a venous cutdown, was associated with most complications. We conclude that the method of choice is the percutaneous insertion of the balloon-tipped catheter through the subclavian or internal jugular veins and that fluoroscopy is unnecessary.

UI MeSH Term Description Entries
D007601 Jugular Veins Veins in the neck which drain the brain, face, and neck into the brachiocephalic or subclavian veins. Jugular Vein,Vein, Jugular,Veins, Jugular
D008991 Monitoring, Physiologic The continuous measurement of physiological processes, blood pressure, heart rate, renal output, reflexes, respiration, etc., in a patient or experimental animal; includes pharmacologic monitoring, the measurement of administered drugs or their metabolites in the blood, tissues, or urine. Patient Monitoring,Monitoring, Physiological,Physiologic Monitoring,Monitoring, Patient,Physiological Monitoring
D011651 Pulmonary Artery The short wide vessel arising from the conus arteriosus of the right ventricle and conveying unaerated blood to the lungs. Arteries, Pulmonary,Artery, Pulmonary,Pulmonary Arteries
D002404 Catheterization Use or insertion of a tubular device into a duct, blood vessel, hollow organ, or body cavity for injecting or withdrawing fluids for diagnostic or therapeutic purposes. It differs from INTUBATION in that the tube here is used to restore or maintain patency in obstructions. Cannulation,Cannulations,Catheterizations
D005471 Fluoroscopy Production of an image when x-rays strike a fluorescent screen. Fluoroscopies
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D013350 Subclavian Vein The continuation of the axillary vein which follows the subclavian artery and then joins the internal jugular vein to form the brachiocephalic vein. Subclavian Veins,Vein, Subclavian,Veins, Subclavian

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