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Option 1 : Swan - Ganz
Concept:
- Swan-Ganz catheterization -> It is also called right heart catheterization or pulmonary artery catheterization
- It is the passing of a thin tube or catheter into the right side of the heart and the arteries leading to the lungs.
- It is done to monitor the heart's function and blood flow and pressures in and around the heart.
Indications
- Not indicated as routine pulmonary artery catheterization in high-risk cardiac and noncardiac patients
- Indicated in patients with cardiogenic shock as a supportive therapy
- Indicated in patients with discordant right and left ventricular failure
- Total parenteral nutrition -> It is indicated when there is an inadequate gastrointestinal function and contraindications to enteral nutrition.
- It is used when the IV administered nutrition is the only source of nutrition the patient is receiving.
Catheters used for Central Venous Line:
- Broviac -> is a central venous line which is inserted under the skin on the chest wall and into a large vein that leads to the heart. It's used in children and teens who need IV therapy for a long time.
- Hickman -> is a central line catheter that is placed on the right side of the chest wall. A Hickman catheter is a soft, small, long, hollow tube that is placed into a vein in the chest and ends in a larger vein just above the heart.
- Groshong -> catheters are a type of central venous catheter, which are placed under direct fluoroscopic visualization in an angiography suite. They can be tunnelled or non-tunnelled.
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