An interesting placement of a pulmonary artery flotation catheter

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An interesting case of pulmonary artery thrombosis [Persian]

A known case of nephrotic syndrome aged 32 months was admitted to ICU because of loss of consciousness. In physical exam he had tachycardia, tachypnea and hypotension. Lab data showed metabolic alkalosis and hypoxia. In CXR, vascular cut off was seen in right lung and perfusion lung scan showed absence of perfusion in the right lung.Treatment was started with heparin and streptokinase, bu...

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A simple method to pass a pulmonary artery flotation catheter rapidly into the pulmonary artery in anaesthetized patients.

BACKGROUND In some patients passage of a pulmonary artery flotation catheter (PAFC) into the pulmonary artery may be difficult and time consuming and the prolonged manipulation can cause ventricular arrhythmias. A simple clinical method used during general anaesthesia is presented to allow rapid passage of a PAFC into the pulmonary artery. METHODS The operating table is positioned head up and...

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an interesting case of pulmonary artery thrombosis [persian]

a known case of nephrotic syndrome aged 32 months was admitted to icu because of loss of consciousness. in physical exam he had tachycardia, tachypnea and hypotension. lab data showed metabolic alkalosis and hypoxia. in cxr, vascular cut off was seen in right lung and perfusion lung scan showed absence of perfusion in the right lung.treatment was started with heparin and streptokinase, but unfo...

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An analysis of the factors influencing pulmonary artery catheter placement in anesthetized patients

BACKGROUND Pulmonary artery catheters are usually placed by resident anesthesiologists with pressure wave monitoring from educational point of view. In some cases, the placement needs longer time or is difficult only by observing the pressure waves. AIMS We sought to examine the time required for the catheter placement in adult patients and determine factors influencing the placement. SETTI...

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Pulmonary artery catheter occlusion as an indication of pulmonary embolus.

Two patients with respiratory failure had consistently reproducible findings on insertion of flow directed pulmonary artery catheters which led to the subsequent diagnosis of pulmonary embolus. Occlusion of the catheter tip and development of a rising "overwedge" tracing on deflation of the balloon may mean the catheter tip has become embedded in clot. When combined with the inability to obtain...

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ژورنال

عنوان ژورنال: Anaesthesia

سال: 1995

ISSN: 0003-2409,1365-2044

DOI: 10.1111/j.1365-2044.1995.tb04626.x