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Swan-Ganz Catheter

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Swan-Ganz Catheter. Caitlyn King BME 281 October 10, 2012. Overview. Swan-Ganz Catheter- Balloon flotation Pulmonary Artery catheter Use for monitoring critically i ll patients (mostly in the ICU) Catheterization only possible on the right side of the heart - PowerPoint PPT Presentation

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Page 1: Swan-Ganz Catheter
Page 2: Swan-Ganz Catheter

• Swan-Ganz Catheter- Balloon flotation Pulmonary Artery catheter

• Use for monitoring critically ill patients (mostly in the ICU)

• Catheterization only possible on the right side of the heart

• Catheter is hooked up to a Cardiac Output computer

Page 3: Swan-Ganz Catheter

• 1929- Dr. Warner Forssman proven that right heart catheterization is possible in humans

• 1964- Dr. Bradley introduced small diagnostic catheter

• 1970- Balloon Flotation Catheter by Doctor H.J.C Swan and William Ganz

Page 4: Swan-Ganz Catheter

• Detection of Heart Failure and Septic Shock

• Measures indirect left ventricular pressure

• Measure Cardiac Output by thermodilution for: Right Atrial and Right Ventricular pacing and right-sided pressures

Page 5: Swan-Ganz Catheter
Page 6: Swan-Ganz Catheter

• Wireless Radiofrequency; no direct connection to Cardiac Output Computer

• Reduced hospitalization among heart failure patients

• Longer duration of use• No batteries required• No wearable parts

Page 7: Swan-Ganz Catheter

• Ability to monitor patient’s blood flow through the heart when critically ill

• Detect of the effectiveness of certain medications, Heart Failure, and Shock

Page 8: Swan-Ganz Catheter

• Over usage of the balloon

• If fluid bag is not under pressure, patient can bleed to death

• Ventricular tachycardia can occur if catheter slides back into the Right Ventricle

• Short duration of use

Page 9: Swan-Ganz Catheter

• Stricter regulations for procedures/requirements• Alternative technology to Swan-Ganz Catheter• Further research on Pulmonary Artery

catheterization

Page 10: Swan-Ganz Catheter

• Palmieri, T. “The Inventors of the Swan-Ganz Catheter: H.J.C Swan and William Ganz”. Current Surgery. 2003; 60(3): 351-2.

• Chatterjee, Kanu. “The Swan-Ganz Catheter: Past, Present, and Future: A viewpoint”. Circulation. 2009; 119:147-152.

• IN VIVO: Analysis Techniques- Surgical Operations. <ufrg.br/imunovent/molecular_immunology/invivo_surgical.htm>.

• Wikipedia: Pulmonary artery catheter. <en.wikipedia.org/wiki/Pulmonary_artery_catheter>.• Verdejo H, et al. “Comparsion of a Radiofrequency-Based Wireless Pressure Sensor to Swan-Ganz

Catheter and Echocardiograpy for Ambulatory Assessment of Pulmonary Artery Pressure in Heart Failure”. Journal of American College of Cardiology. 2007; 50(25): 2375-82.

• Cuasay, R., Lemole, G. “Rupture of Pulmonary Artery by Swan-Ganz Catheter: A Cause of Postoperative Bleeding after Open-Heart Operation”. The Annals of Thoracic Surgery. 1981; 32: 415-417.

• Medline: Swan-Ganz- right heart catheterization. <nlm.hih.gov/medlineplus/article/003870.htm>.• Bhattacharya, J., Shaikh, A., Vytlacil, E. “Treatment effect bounds: An application to Swan-Ganz

catheterization”. Journal of Econometrics. 2012; 168: 223-243.• The Free Dictionary: Catheter. <medical-dictionary.thefreedictionary.com/Swan-Ganz+catheter>.• Creagh Brown: Haemodynamic monitoring. <creaghbrown.co.uk/anae/hdmon.htm>.• Cardiovasular Ultrasound: X-ray Swan-Ganz. <cardiovasicularultrasound.com/content/6/1/50/figure/F2?

highres=y>.