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

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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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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: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
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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Complications of invasive monitoring

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