Arterially misplaced Swan-Ganz catheter in a hypotensive and hypoxic COPD patient.
Arterial misplacement of the Swan-Ganz catheter occurs occasionally and usually can be easily detected. However, in some special clinical settings, the problem may become more complicated. We report a case of chronic obstructive pulmonary disease in which, because of severe hypoxemia, systemic hypotension, and pulmonary hypertension, conventional methods failed to recognize the misplacement, until confirmed with blood gas analysis.
Lee
T S
TS
Department of Anesthesiology, Harbor-UCLA Medical Center 90509-2910, USA.
Wu
Y
Y
D000368:Aged; D001784:Blood Gas Analysis; D016122:Brachiocephalic Trunk / Q000000981:diagnostic imaging; D002407:Catheterization, Swan-Ganz / Q000009:adverse effects*; D006801:Humans; D007022:Hypotension / Q000150:complications* / Q000503:physiopathology; D000860:Hypoxia / Q000150:complications* / Q000503:physiopathology; D008173:Lung Diseases, Obstructive / Q000150:complications*; D008297:Male; D011859:Radiography