Category: Swan-Ganz Catheter

Swan-Ganz Catheter

The Assault on the Swan-Ganz Catheter: Strategies of Echo-Doppler Monitoring

Strategies of Echo-Doppler Monitoring We conceive of a three-stage procedure in its practical application in critical care settings. The physician advances the probe and completes a diagnostic inventory. This provides immediate diagnoses such as pericardial tamponade, aortic dissection, flail valve, intracardiac thrombus, right ventricular dilation caused by an obstructing pulmonaiy…

Swan-Ganz Catheter

The Assault on the Swan-Ganz Catheter: Ventricular wall thickness

In the short (transgastric) view, we may measure ventricular wall thickness and chamber area with only a single plane echocardiographic probe. The long axis view allows us to estimate end-diastolic volume, end-systolic volume, and the difference representing stroke volume. We may measure trans-mitral velocity and mitral valve area or the…

Swan-Ganz Catheter

The Assault on the Swan-Ganz Catheter: Echo-Doppler Methodologies

I would now turn from the negative to the positive. In lieu of an invasive technique, how may we anticipate an alternative from inventive technological advances? I have submitted to you my own conclusion that hemodynamic information is essential in many settings for appropriate diagnosis, and therefore targeted interventions. This…

Swan-Ganz Catheter

The Assault on the Swan-Ganz Catheter: Substantive progress

There have been several major responses to the Connors et al article. This College joined with other organizations, including the Society of Critical Care Medicine, American Association of Critical Care Nurses, and the American Thoracic Society, to set up guidelines on the use of the Swan-Ganz catheter. I participated in…

Swan-Ganz Catheter

The Assault on the Swan-Ganz Catheter: Invasive methods

There are now two related problems. Not only are disorder groups like ARDS and its sequel, multisystem failure, descriptive disorder groups rather than diagnoses, they represent poorly understood disease states for which we presently identify no specific therapy. Moreover, the study did not address the clinical course to the extent…

Swan-Ganz Catheter

The Assault on the Swan-Ganz Catheter: MOSF

Finally, we identify new and potentially more precise and less invasive modalities. I view one of these as a potentially superior alternative to the traditional use of the pulmonary artery catheter. Connors and associates investigated a large population of patients who had received Swan-Ganz catheters in the course of management…