Case of the Month - Case 3/2000
M Joseph, J Nates
anesthesia, anesthesiology, critical care medicine, education, electronic publication, intensive care medicine, internet, multimedia, online, peer-review, regional anesthesia, trauma
M Joseph, J Nates. Case of the Month - Case 3/2000. The Internet Journal of Emergency and Intensive Care Medicine. 1999 Volume 4 Number 2.
This is a critically ill 24 year-old female patient, requiring a pulmonary artery (PA) catheter for hemodynamic management. Below are the 3 consecutive chest X rays, the first after a routine insertion of the PA catheter.
Other potential complications due to use of a PA catheter include pneumothorax, arrhythmias, pulmonary infarction, sepsis and endocarditis, balloon rupture and subclavian artery injury.
Surgical options require a thoracotomy with arterial repair, 5 pneumonectomy 7 or lobectomy. 8