Q: Why is it important to inflate the balloon of Pulmonary Artery Catheter (Swan-Ganz Catheter) as soon as it enters Right Atrium?
Answer: During Pulmonary Artery Catheter insertion, care must be taken so as to inflate the balloon as soon as the atrial wave is noticed in the monitor.
This helps to avoid endocardial lesion in the tricuspid valve. Also, it prevents right atrium and right ventricle wall perforation.
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Reference:
Auxiliadora-Martins M, Apinagés Dos Santos E, Adans Wenzinger D, Alkmim-Teixeira GC, de M Neto GC, Sankarankutty AK, de Castro E Silva O, Martins-Filho OA, Basile-Filho A. Perforation of the right ventricle induced by pulmonary artery catheter at induction of anesthesia for the surgery for liver transplantation: a case report and reviewed of literature. Case Rep Med. 2009;2009:650982. doi: 10.1155/2009/650982. Epub 2009 Dec 31. PMID: 20066172; PMCID: PMC2804058.
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