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A Journal on Anesthesiology, Resuscitation, Analgesia and Intensive Care
HEMODYNAMIC MONITORING SMART 2002 Milan, May 29-31, 2002
Minerva Anestesiologica 2002 April;68(4):231-5
Hemodynamic monitoring using a long radial catheter
Post Surgical Intensive Care Dipartimento Cuore e Vasi, ASL, Teramo (Italy)
Percutaneous radial artery catheterization for blood gas monitoring and continuous arterial pressure recording has become a common procedure in the management of patient undergoing cardiac surgery operations. Since radial artery pressure does not accurately reflect central aortic pressure, in the immediate post bypass period and in low cardiac output states, specially during catecolamine infusion, a long arterial line is necessary. The author has been using several techniques of central arterial cannulation from 1980 to 2002 in 6303 procedures using central radial artery, including 734 patients with Lengh of Stay (LOS) >96 h, and 1880 patients with Seldinger Technique, using poliurethane Arrow catheter 16 G 50 cm. The use of long radial catheter has been recently associated, for the control pulse analysis, with Picco technology successfully in 74 patients undergoing cardiac and vascular surgery operations, having no complication. The author referred on the clinical aspect connected with the use of central radial catheter with special emphasis on safety of the procedure. a) Large retrospective revue on the use of long artherial catheter (6303), including prospective (50 patients) Trial of consecutive unrandomized patients. b) Setting: Cardiac surgery end vascular department in a large over 1000 beds and 4 Hospitals Administration (the study has been limited to cardiac surgery unit).