Pulmonary artery catheter for hemodynamic monitoring — rarely used now.
Indications
- • Selected shock states with diagnostic uncertainty
Contraindications
- ⚠ Right-sided endocarditis
- ⚠ LBBB (may need pacing)
Equipment
- • Introducer + PA catheter
- • Pressure transducer
- • ECG monitoring
Positioning
- • As appropriate for the procedure and patient comfort.
Consent
- • Explain indication, benefits, alternatives
- • Explain risks & complications
- • Obtain written/verbal consent as per SOP
- • Document consent
Universal precautions
- • Hand hygiene
- • PPE — gloves, mask, eye protection
- • Aseptic technique
- • Sharps safety
- • Verify patient identity & site
Step-by-step (0/4)
Tap to complete
Introducer sheath as CVC.
Immediate complications
- ⚠ Arrhythmia
- ⚠ PA rupture
- ⚠ Knotting
Delayed complications
- • Thrombosis
- • Infection
Recognition
- • Sustained VT
- • Sudden hemoptysis
Initial management
- • Deflate balloon; escalate
Prevention
- • Trained operator
Post-procedure observation
- • Vitals q15min × 1h then hourly
Monitoring
- • Site inspection
- • Symptom review
Documentation
- • Procedure note
- • Consent
- • Findings
Patient instructions
- • Report pain, bleeding, fever, worsening symptoms
Educational bedside guide. Perform only under supervision until competent. Follow local SOPs and consent policy.
