Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/16409
Full metadata record
DC FieldValueLanguage
dc.contributor.authorWeinberg, Laurence-
dc.contributor.authorMiles, Lachlan F-
dc.contributor.authorAllaf, Maysana-
dc.contributor.authorPillai, Parameswaran-
dc.contributor.authorPeyton, Philip J-
dc.contributor.authorDoolan, Laurie-
dc.date2015-07-29-
dc.date.accessioned2016-11-04T04:56:57Z-
dc.date.available2016-11-04T04:56:57Z-
dc.date.issued2015-12-
dc.identifier.citationJournal of Cardiothoracic and Vascular Anesthesia 2015; 29(6): 1511-1516en_US
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/16409-
dc.description.abstractOBJECTIVES: To determine whether video fluoroscopy combined with traditional pressure waveform analyses facilitates optimal pulmonary artery catheter (PAC) flotation and final positioning compared with the traditional pressure waveform flotation technique alone. DESIGN: Prospective, single-center, randomized, controlled trial. SETTING: Single-center university teaching hospital. PARTICIPANTS: The study included 50 cardiac surgery patients at higher risk for PAC complications. INTERVENTIONS: Use of video fluoroscopy to facilitate optimal PAC flotation and positioning. MEASUREMENTS AND MAIN RESULTS: The primary outcome was the time taken to float and position the PAC balloon in the pulmonary artery as confirmed by transesophageal echocardiography. Secondary outcomes included number of attempts at flotation, ventricular rhythm disturbances, and catheter malposition. Patients were evenly matched in baseline demographics, New York Heart Association symptoms of heart failure, severity of left and right ventricular dysfunction, end-diastolic pressures and dimensions, severity of tricuspid valvular disease, and atrial and pulmonary artery pressures. Mean (SD) time to float the PAC was significantly shorter in the video fluoroscopy group than in the usual care group: 73 seconds (SD, 65.1) versus 176 seconds (SD, 180.6), respectively; p = 0.014. The median (interquartile range [IQR]) number of attempts to successful flotation was fewer in the video fluoroscopy group than in the usual care group: 1 (IQR 1:2) attempt versus 2 (IQR 1:4) attempts, respectively; p = 0.007. The composite complication rate (malposition and arrhythmias) was lower in the video fluoroscopy group than in the usual care group (16% v 52%, respectively; p = 0.01). CONCLUSIONS: In cardiac surgery patients at higher risk for PAC complications, video fluoroscopy facilitated faster and safer catheter flotation and positioning compared with the traditional pressure waveform flotation technique.en_US
dc.subjectCardiac surgical porceduresen_US
dc.subjectCatheterization, Swan-Ganzen_US
dc.subjectPatient positioniningen_US
dc.subjectThoracic-surgery, Video-assisteden_US
dc.titleVideo fluoroscopy for positioning of pulmonary artery catheters in patients undergoing cardiac surgeryen_US
dc.typeJournal Articleen_US
dc.identifier.journaltitleJournal of Cardiothoracic and Vascular Anesthesiaen_US
dc.identifier.affiliationDepartment of Anesthesia, Department of Surgery and Centre for Anesthesia, Perioperative and Pain Medicine, The University of Melbourne, Victoria, Australiaen_US
dc.identifier.affiliationDepartment of Anesthesia, Intensive Care, Austin Health, Heidelberg, Victoria, Australiaen_US
dc.identifier.affiliationDepartment of Intensive Care, Austin Health, Heidelberg, Victoria, Australiaen_US
dc.identifier.pubmedurihttps://pubmed.ncbi.nlm.nih.gov/26706793en_US
dc.identifier.doi10.1053/j.jvca.2015.07.033en_US
dc.type.contentTexten_US
dc.identifier.orcid0000-0001-7403-7680en_US
dc.type.austinJournal Articleen_US
local.name.researcherMiles, Lachlan F
item.openairetypeJournal Article-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.grantfulltextopen-
item.fulltextWith Fulltext-
item.cerifentitytypePublications-
crisitem.author.deptAnaesthesia-
crisitem.author.deptAnaesthesia-
crisitem.author.deptAnaesthesia-
crisitem.author.deptInstitute for Breathing and Sleep-
Appears in Collections:Journal articles
Files in This Item:
File Description SizeFormat 
1-s2.0-S1053077015007363-main.pdf679.77 kBAdobe PDFThumbnail
View/Open
Show simple item record

Page view(s)

20
checked on Mar 27, 2024

Download(s)

72
checked on Mar 27, 2024

Google ScholarTM

Check


Items in AHRO are protected by copyright, with all rights reserved, unless otherwise indicated.