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Cited by 112Hemodynamic Monitoring and TherapyVascular Procedures and ComplicationsCentral Venous Catheters and Hemodialysis

Complications of invasive monitoring

Bowdle, T.Andrew·2002·Anesthesiology Clinics of North America
DOI 10.1016/s0889-8537(02)00004-4
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Abstract

Invasive monitoring in anesthesiology is relatively safe. Arterial catheterization in particular has an extremely low rate of serious complications. Radial, brachial, and femoral artery catheterization sites appear to have similar and low complication rates. CVP and PA catheters are more dangerous and entail potentially fatal complications. The most troublesome complication with CVP catheters is perforation of the heart or cava, which should be avoidable under most circumstances if care is taken to position the catheter properly, outside the heart. Chest radiography should be used to specifically ascertain that the catheter is not in a dangerous location. The most troublesome complication with PA catheters is perforation of the pulmonary artery. This is probably a sporadic problem, and it is not necessarily avoidable by adherence to particular techniques. It should be assumed that hemoptysis in a patient with a PA catheter is caused by perforation of the pulmonary artery until proven otherwise, and it should be treated aggressively.

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  • Continuous monitoring of certain vital signs such as blood pressure demands additional wired hardware such as peripheral and umbilical arterial catheters, which can induce complications including thrombus formation, occlusion, infection, rupture, pseudoaneurysm, bleeding, and death.

    “Furthermore, continuous monitoring of certain vital signs, such as blood pressure, demands additional wired hardware, such as peripheral and umbilical arterial catheters4, which can induce other types of complications, including thrombus formation and occlusion, infection (e.g. sepsis), rupture, pseudoaneurysm, bleeding, and death5–7.”

    From Skin-interfaced biosensors for advanced wireless physiological monitoring in neonatal and pediatric intensive-care units (2020) · cites this paper as [4]

  • Episodic BP measurements in neonates and pediatric patients involve miniaturized conventional BP cuffs, while continuous tracking requires catheter-based pressure sensors inserted into peripheral arteries; both procedures, particularly the latter, are invasive and involve multiple risk factors.

    “Episodic measurements of BP in current clinical practice on neonates and pediatric patients involve miniaturized, but otherwise conventional, BP cuffs that wrap around the limbs, while continuous tracking requires catheter-based pressure sensors (arterial lines) that insert into peripheral arteries. Both procedures, particularly the latter, are invasive and involve multiple risk factors4”

    From Skin-interfaced biosensors for advanced wireless physiological monitoring in neonatal and pediatric intensive-care units (2020) · cites this paper as [4]

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Authors
Bowdle, T. A.
Venue
Anesthesiology Clinics of North America
Publisher
Elsevier BV
Published
2002-09
Volume
20
Issue
3
Pages
571-588
ISSN
0889-8537 (ISSN-L)
DOI
10.1016/s0889-8537(02)00004-4
OpenAlex
W2119404588
Cited by
112
References
81
Citations by year
2026: 2 · 2025: 3 · 2024: 3 · 2023: 5 · 2022: 2 · 2021: 1 · 2020: 5 · 2019: 3 · 2018: 3 · 2017: 1 · 2016: 4 · 2015: 2 · 2014: 7 · 2013: 4 · 2012: 5
FWCI
1.04
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • Anesthesiology Clinics of North America (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Surgery › Hemodynamic Monitoring and Therapy
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Vascular Procedures and Complications
  • Health Sciences › Health Professions › Emergency Medical Services › Central Venous Catheters and Hemodialysis
Keywords
invasive hemodynamic monitoring, arterial catheterization complications, central venous pressure catheter, pulmonary artery catheter, cardiac perforation, pulmonary artery perforation, hemoptysis, catheter positioning, chest radiography
MeSH terms
Catheterization, Catheterization, Central Venous, Catheterization, Swan-Ganz, Equipment Failure, Humans, Monitoring, Intraoperative

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