The DOI matches its Crossref record; 80 of the 81 references it cites were found in a registry or an index.
Complications of invasive monitoring
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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“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]
In the citing paper
“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]
Citations
Cites
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Cited by
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Items 101–112 of 112
Monitoring Ventricular Function in the Operating Room: Impact on Clinical Outcome
Oxorn, D. C. (2007) · Elsevier eBooks · doi:10.1016/b978-1-4160-3640-1.50006-x
Meng, X., Zang, G., Li, R., Fan, L., Liu, J., & Wang, Z. (2017) · Blood Pressure Monitoring · doi:10.1097/mbp.0000000000000304
Aslam, M. I., Smith, H., Currow, C., Akhtar, N. D., Merchant, J., Evans, R., Ihedioha, U., & Kang, P. (2018) · Mini-invasive Surgery · doi:10.20517/2574-1225.2017.42
Catheterization and pneumothorax
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Central Venous Access Procedures
Przybysz, T. M., & Heffner, A. C. (2019) · Elsevier eBooks · doi:10.1016/b978-0-323-52993-8.00042-4
Silva, J. M., Menezes, P. F. L., Carvalho, F. H. S., Oliveira, M. A. N., Filho, F. N. F. C., Fernando, B. N., Carmona, M. J. C., Teich, V., Lobo, S. M., & Malbouisson, L. M. S. (2020) · doi:10.21203/rs.2.20292/v1
Papel de la biorreactancia en la monitorización hemodinámica no invasiva en pacientes con sepsis
Varón-Vega, F. A., Vargas, M., Conde, R., Ibatá, L., Martínez, S., & Ariza, J. G. (2022) · Acta Colombiana de Cuidado Intensivo · doi:10.1016/j.acci.2022.05.003
The Future of Patient Monitoring
Ehrmann, D. E., Assadi, A., Eytan, D., Goodfellow, S. D., Goodwin, A., Greer, R., Schwartz, S. M., & Mazwi, M. (2023) · Springer eBooks · doi:10.1007/978-1-4471-4999-6_108-2
The Correlation of Hemodynamic Changes and Early Allograft Function Following Liver Transplantation
Cheng, S.-M., Weng, L., Lee, W., Chen, L.-T., & Lee, C. (2025) · Transplantation Proceedings · doi:10.1016/j.transproceed.2025.10.011
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The Middle Ground: Midline Catheter use and Trainee Involvement in US Critical Care Fellowships
King, D., Garay, R., Teehan, E., Streit, S. M., Shaykhinurov, E., Pierce, A. Z., Davison, D. L., Hawkins, K., & Yamane, D. P. (2026) · Journal of Intensive Care Medicine · doi:10.1177/08850666261455254
Metadata
- 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)
- 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
- 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 › Medicine › Critical Care and Intensive Care Medicine › 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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