The Swan-Ganz pulmonary artery catheter. Incidence of complications, with particular reference to ventricular dysrhythmias, and their prevention.
A series of seventy-three adult patients undergoing open-heart surgery was studied, in whom a Swan-Ganz pulmonary artery catheter was inserted. The incidence of complications occurring during insertion and use of the catheter was noted, and a controlled trial carried out to determine the efficacy of lignocaine 1 mg/kg iv in preventing ventricular dysrhythmias during passage of the catheter. A significant decrease in dysrhythmia rate was observed. Ways of minimising or preventing other complications are discussed.
D000328:Adult; D000368:Aged; D001145:Arrhythmias, Cardiac / Q000209:etiology / Q000517:prevention & control; D006328:Cardiac Catheterization / Q000009:adverse effects* / Q000295:instrumentation; D005260:Female; D006352:Heart Ventricles; D006801:Humans; D008012:Lidocaine / Q000627:therapeutic use; D008297:Male; D008875:Middle Aged; D011651:Pulmonary Artery
D008012:Lidocaine