Is There a Need for a Pulmonary Artery Catheter in Cardiac Surgery Today?. (March 2021)

• Record Type: Journal Article
• Authors: Jacobzon, Ehud; Hasin, Tal; Lifschitz, Avital; Bogot, Naama; Farkash, Adam; Tager, Salis; Silberman, Shuli
• Is Part Of: Seminars in cardiothoracic and vascular anesthesia. Volume 25:Number 1(2021)
• Page Start: 29
• Page End: 33
• Publication Date: 2021-03
• Subjects: cardiac anesthesia -- heart failure -- cost for left ventricular assist devices -- cardiac surgery -- hemorrhage -- intraoperative assessment -- intraoperative transesophageal echocardiography; Cardiovascular system -- Surgery -- Methods -- Periodicals; Chest -- Surgery -- Methods -- Periodicals; Anesthesia -- Periodicals; Anesthetics -- Periodicals; Anesthesia -- Periodicals; Anesthetics -- Periodicals; Cardiovascular Surgical Procedures -- methods -- Periodicals; Thoracic Surgical Procedures -- methods -- Periodicals; 617.96
• DOI: 10.1177/1089253220951322
• Languages: English
• ISSNs: 1089-2532

Abstract

Pulmonary artery catheters are a useful tool for hemodynamic monitoring in high-risk patients during surgery and while in intensive care. However, there are major risks inherent to the device, and with modern day technology, their routine use has decreased. We discuss the need for routine insertion of pulmonary artery catheters in cardiac surgery. We also present a case of a left ventricular assist device implantation complicated by serious pulmonary hemorrhage due to pulmonary artery catheter insertion, highlighting the potentially life-threatening risks involved.