Abstract

MACHADO GARCIA, Jorge Luís. Impact of hemodynamic monitoring with Swan-Ganz catheter in the diagnosis and treatment in unstable seriously ill patients. AMC [online]. 2014, vol.18, n.6, pp. 633-641. ISSN 1025-0255.

Objective: to evaluate the repercussion of the invasive hemodynamic monitoring with Swan-Ganz catheter; to show the benefits and repercussions of its hemodynamic use in the diagnosis and treatment of unstable seriously ill patients in the first 72 hours of evolution. Method: a prospective, descriptive study was conducted in the Intensive Care room of the Manuel Ascunce Domenech Teaching Hospital from January, 1992 to January 2014. A universe of 500 patients aged 15-70 years old was studied; 298 of them were diagnosed with hemodynamic instability of a cardiogenic origin and 202 with hemodynamic instability of a non-cardiogenic origin. Results: its use motivated changes in the diagnosis, or the addition of another diagnosis, in 317 patients 63, 4 %. Regarding the treatment, changes or modifications were made in a total of 450 patients, which represented a 90 %. Conclusions: the rational and well-discussed use of the Swan-Ganz catheter was very useful for the handling of very ill patients with hemodynamic instability difficult to handle. This allowed a better interpretation of confusing physiopathological conditions, as well as applying opportune therapeutic methods and of difficult decision.

Keywords : CATHETERIZATION, SWAN-GANZ; SHOCK, CARDIOGENIC; MONITORING; PATIENT CARE MANAGEMENT; EPIDEMIOLOGY, DESCRIPTIVE.

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