Indian Journal of Critical Care Medicine

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Related articles

VOLUME 16 , ISSUE 1 ( January, 2012 ) > List of Articles

CASE REPORT

Asystole during pulmonary artery catheter insertion under general anesthesia

Swapna Chaudhuri, Deborah Ortega, Kallol Chaudhuri

Keywords : Arrhythmic complications, asystole, cardiac arrest, general anesthesia, pulmonary artery catheter

Citation Information : Chaudhuri S, Ortega D, Chaudhuri K. Asystole during pulmonary artery catheter insertion under general anesthesia. Indian J Crit Care Med 2012; 16 (1):41-43.

DOI: 10.4103/0972-5229.94434

License: CC BY-ND 3.0

Published Online: 01-01-2012

Copyright Statement:  Copyright © 2012; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

In spite of ongoing debate for the past 40 years, pulmonary artery catheters remain in use for invasive hemodynamic monitoring and management of critically ill patients. We describe a case of a sudden onset of asystolic cardiac arrest during the placement of a pulmonary artery catheter, while under general anesthesia. A brief review of the literature highlighting arrhythmic complications associated with pulmonary artery catheterization is also presented.


PDF Share
  1. Pulmonary artery catheterization. Crit Care Clin 1992;8:773-806.
  2. Ventricular arrhythmias during insertion and removal of pulmonary artery catheters. Chest 1985;88:190-3.
  3. Assessment of the clinical effectiveness of pulmonary artery catheters in management of patients in intensive care (PAC-Man): a randomized controlled trial. Lancet 2005;366:472-7.
  4. Practice guidelines for pulmonary artery catheterization: an updated report by the American Society of Anesthesiologists Task Force on Pulmonary Artery Catheterization. Anesthesiology 2003;99:988-1014.
  5. Complete heart block caused by the Swan-Ganz catheter. Chest 1974;65:349.
  6. Complete heart block during central venous catheter placement in a patient with pre-existing left bundle branch block. Br J Anaesth 2003;91:747-9.
  7. Cardiac arrest during removal of a pulmonary artery catheter. Can J Anaesth 1996;43:972-4.
  8. Cardiac arrest after the removal of a central venous catheter. J Cardiothorac Vasc Anesth 2008;22:174-5.
  9. Perioperative bradycardia and asystole: relationship to vasovagal syncope and the Bezold-Jarisch reflex. Br J Anaesth 2001;86:859-68.
  10. Evidence-based review of the use of the pulmonary artery catheter: impact data and complications. Crit Care 2006;10 Suppl 3:S8.
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.