A prospective analysis of 1400 pulmonary artery catheterizations in patients undergoing cardiac surgery
A prospective analysis of 1400 pulmonary artery catheterizations in patients undergoing cardiac surgery
复制标题
1400例心脏手术患者肺动脉插管的前瞻性分析
DOI：
10.1111/j.1399-6576.1986.tb02436.x
复制
发表时间：
1986
影响因子：
2.1
通讯作者：
D. Bolton
中科院分区：
文献类型：
--
作者：
J. Damen;D. Bolton
在1983年和1984年期间，1305例患者接受了1400次肺动脉（PA）插管。在1403次尝试中，1397次（99.6%）成功放置。导管经右颈内静脉插入1364次。监测的中位持续时间为28 h，范围为3 - 220 h。中心静脉穿刺并发症包括67例（4.8%）颈动脉穿刺和1例气胸。导管插入与11例室上性心律失常、930例室性心律失常（66.4%）、2例右束分支传导阻滞和1例完全性心脏传导阻滞相关。794个培养的导管头端中有18个（2.3%）为阳性。与原位时间小于72 h相比，原位时间大于72 h与阳性尖端培养物的百分比（7.2%）显著更高相关（P<0.01）。重复PA导管插入术与首次导管插入术相比并发症没有显著增加。结果表明，在心脏手术患者中使用PA导管进行监测与低发病率相关。
During 1983 and 1984, 1305 patients underwent 1400 pulmonary artery (PA) catheterizations. Successful placement was achieved in 1397 (99.6%) of 1403 attempts. The catheters were inserted via the right internal jugular vein on 1364 occasions. The median duration of monitoring was 28 h with a range from 3 to 220 h. Central venous puncture complications included carotid artery puncture in 67 instances (4.8%) and pneumothorax in one patient. Insertion of the catheters was associated with supraventricular arrhythmias on 11 occasions, ventricular arrhythmias on 930 (66.4%), right bundle branch block on two and a total heart block on one occasion. Eighteen (2.3%) of the 794 cultured catheter tips were positive. An in situ time of more than 72 h was associated with a significantly higher percentage (7.2%) of positive tip cultures compared with an in situ time of less than 72 h (P<0.01). Repeated PA catheterization was not associated with significantly more complications than the initial catheterization. The results show that monitoring with a PA catheter in cardiac surgical patients is associated with a low incidence of morbidity.
肺动脉插管期间预防性使用利多卡因预防晚期室性心律失常。
DOI：
10.1016/0002-9343(83)90862-8
发表时间：
1983
期刊：
The American journal of medicine
影响因子：
--
作者：
Sprung,CL;Marcial,EH;Garcia,AA;Sequeira,RF;Pozen,RG
通讯作者：
Pozen,RG