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2.
AACN Adv Crit Care ; 31(1): 25-33, 2020 Mar 15.
Artículo en Inglés | MEDLINE | ID: mdl-32168512

RESUMEN

The year 2020 marks the 50th anniversary of the landmark publication on the bedside clinical use of a flow-directed catheter. The catheter, now known as the Swan-Ganz catheter, truly revolutionized practice and care of the critically ill. Use of the catheter proliferated nearly without rigorous validation or evidence base until a moratorium was called in regard to its use. This article describes the history of the development of the Swan-Ganz catheter, its uses, and its near downfall. The authors, both involved in educating clinicians in the use of the pulmonary artery catheter, hope that telling this story shares tribal knowledge and lessons learned with newer generations of nurses who did not experience the explosion of development and knowledge in the area of hemodynamic monitoring. Partly because of advances in technology, and the catheter's application for heart failure in particular, use of the pulmonary catheter is being resurrected.


Asunto(s)
Cateterismo de Swan-Ganz/historia , Catéteres/historia , Competencia Clínica/normas , Monitoreo Fisiológico/historia , Monitoreo Fisiológico/instrumentación , Monitoreo Fisiológico/métodos , Personal de Enfermería en Hospital/normas , Historia del Siglo XX , Historia del Siglo XXI , Humanos
4.
J Anesth Hist ; 6(4): 21-25, 2020 12.
Artículo en Inglés | MEDLINE | ID: mdl-33674026

RESUMEN

BACKGROUND: In 1970, Harold James Charles Swan and William Ganz published their work on the pulmonary artery catheter (PAC or Swan-Ganz catheter). They described the successful bedside use of a flow-directed catheter to continuously evaluate the heart, and it was used extensively in the years following to care for critically ill patients. In recent decades, clinicians have reevaluated the risks and benefits of the PAC. AIM: We acknowledge the contributions of Swan and Ganz and discuss literature, including randomized controlled trials, and new technology surrounding the rise and fall in use of the PAC. METHODS: We performed a literature search of retrospective and prospective studies, including randomized controlled trials, and editorials to understand the history and clinical outcomes of the PAC. RESULTS: In the 1980s, clinicians began to question the benefits of the PAC. In 1996 and 2003, a large observational study and randomized controlled trial, respectively, showed no clear benefits in outcome. Thereafter, use of PACs began to drop precipitously. New less and noninvasive technology can estimate cardiac output and blood pressure continuously. CONCLUSIONS: Swan and Ganz contributed to the bedside understanding of the pathophysiology of the heart. The history of the rise and fall in use of the PAC parallels the literature and invention of less-invasive technology. Although the PAC has not been shown to improve clinical outcomes in large randomized controlled trials, it may still be useful in select patients. New less-invasive and noninvasive technology may ultimately replace it if literature supports it.


Asunto(s)
Cateterismo de Swan-Ganz/historia , Arteria Pulmonar/cirugía , Dispositivos de Acceso Vascular/historia , Cateterismo de Swan-Ganz/estadística & datos numéricos , Historia del Siglo XX , Historia del Siglo XXI , Humanos , Estudios Observacionales como Asunto/estadística & datos numéricos , Ensayos Clínicos Controlados Aleatorios como Asunto/estadística & datos numéricos , Tecnología/historia , Dispositivos de Acceso Vascular/estadística & datos numéricos
6.
Ann Intern Med ; 169(9): 636-642, 2018 11 06.
Artículo en Inglés | MEDLINE | ID: mdl-30398637

RESUMEN

Jeremy Swan and William Ganz developed their eponymous pulmonary artery (PA) catheter in the 1970s and, in the process, revolutionized measurement of cardiac output, pressures within the left side of the heart, and resistance in systemic and pulmonary circulations. Their invention enabled diagnostic measurements at the bedside and contributed to the birth of critical care medicine; technologic advances preceding the PA catheter generally could not be used at the bedside and required patients to be stable enough to be taken to the catheterization laboratory. Swan and Ganz worked in the same department but had quite dissimilar backgrounds and personalities. This article describes their lives and careers, the state of intensive care before and after their catheter was introduced, and the natural life cycle the PA catheter faced as new, less invasive technology arrived to replace it.


Asunto(s)
Cateterismo de Swan-Ganz/historia , Procedimientos Quirúrgicos Cardíacos/historia , Cateterismo de Swan-Ganz/efectos adversos , Cuidados Críticos/historia , Checoslovaquia , Inglaterra , Historia del Siglo XIX , Historia del Siglo XX , Historia del Siglo XXI , Humanos , Los Angeles
7.
In. Vieira, Joaquim Edson; Rios, Isabel Cristina; Takaoka, Flávio. Anestesia e bioética / Anesthesia and bioethics. São Paulo, Atheneu, 8; 2017. p.785-840.
Monografía en Portugués | LILACS | ID: biblio-847828
8.
In. Soeiro, Alexandre de Matos; Leal, Tatiana de Carvalho Andreucci; Accorsi, Tarso augusto Duenhas; Gualandro, Danielle Menosi; Oliveira Junior, Múcio Tavares de; Kalil Filho, Roberto. Manual da residência em cardiologia / Manual residence in cardiology. São Paulo, Manole, 2016. p.154-158.
Monografía en Portugués | LILACS | ID: biblio-971587
14.
Cardiol Rev ; 18(2): 94-101, 2010.
Artículo en Inglés | MEDLINE | ID: mdl-20160536

RESUMEN

The development of right heart catheterization has provided the clinician the ability to diagnose patients with congenital and acquired right heart disease, and to monitor patients in the intensive care unit with significant cardiovascular illnesses. The development of bedside pulmonary artery catheterization has become a standard of care for the critically ill patient since its introduction into the intensive care unit almost 40 years ago. However, adoption of this procedure into the mainstream of clinical practice occurred without prior evaluation or demonstration of its clinical or cost-effectiveness. Moreover, current randomized, controlled trials provide little evidence in support of the clinical utility of pulmonary artery catheterization in the management of critically ill patients. Nevertheless, the right heart catheter is an important diagnostic tool to assist the clinician in the diagnosis of congenital heart disease and acquired right heart disease, and moreover, when catheter placement is proximal to the right auricle (atria), this catheter provides an important and safe route for administration of fluids, medications, and parenteral nutrition. The purpose of this manuscript is to review the development of right heart catheterization that led to the ability to conduct physiologic studies in cardiovascular dynamics in normal individuals and in patients with cardiovascular diseases, and to review current controversies of the extension of the right heart catheter, the pulmonary artery catheter.


Asunto(s)
Cateterismo de Swan-Ganz/historia , Animales , Investigación Biomédica/historia , Enfermedades Cardiovasculares/diagnóstico , Enfermedades Cardiovasculares/historia , Fenómenos Fisiológicos Cardiovasculares , Cateterismo de Swan-Ganz/instrumentación , Cateterismo de Swan-Ganz/métodos , Hemodinámica , Historia del Siglo XVIII , Historia del Siglo XIX , Historia del Siglo XX , Historia del Siglo XXI , Humanos , Unidades de Cuidados Intensivos/historia
16.
Crit Care Clin ; 25(1): 1-29, vii, 2009 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-19268792

RESUMEN

This article reviews the development of early ideas regarding the origins and pathogenesis of shock. The early history of shock is related primarily to traumatic shock. More recent history centers on differentiation of clinical syndromes and individual characteristics. Definitions, classification systems, pathogenic theories, and treatments have evolved. Progress has been aided by constant development of improved assessment technologies. Today, shock is not a single syndrome and the definition of shock no longer is descriptive in nature. The most accepted current definition involves an oxygen supply/demand imbalance that can have various causes-hypovolemia, cardiac dysfunction, vascular failure, or obstructive processes.


Asunto(s)
Cuidados Críticos/historia , Choque/historia , Investigación Biomédica/historia , Gasto Cardíaco , Cateterismo de Swan-Ganz/historia , Cuidados Críticos/métodos , Europa (Continente) , Historia del Siglo XVIII , Historia del Siglo XIX , Historia del Siglo XX , Historia Antigua , Humanos , Medicina Militar/historia , Choque/clasificación , Choque/diagnóstico , Esfigmomanometros/historia , Terminología como Asunto , Estados Unidos , Heridas por Arma de Fuego/historia
17.
Crit Care Clin ; 25(1): 103-14, viii, 2009 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-19268797

RESUMEN

Significant progress has been made over the past 60 years in defining and recognizing cardiogenic shock (CS), and there have been tremendous advances in the care of patients who have this illness. Although there are many causes of this condition, acute myocardial infarction with loss of a large amount of functioning myocardium is the most frequent cause. It was recognized early in the study of CS that prompt diagnosis and rapid initiation of therapy could improve the prognosis, and this remains true today. Although the mortality from CS remains high, especially in elderly populations, modern therapies improve the chance of survival from this critical illness.


Asunto(s)
Choque Cardiogénico/historia , Investigación Biomédica/historia , Fármacos Cardiovasculares/historia , Fármacos Cardiovasculares/uso terapéutico , Cateterismo de Swan-Ganz/historia , Enfermedad de la Arteria Coronaria/complicaciones , Enfermedad de la Arteria Coronaria/historia , Unidades de Cuidados Coronarios/historia , Cuidados Críticos/historia , Cuidados Críticos/métodos , Historia del Siglo XVIII , Historia del Siglo XIX , Historia del Siglo XX , Humanos , Contrapulsador Intraaórtico/historia , Revascularización Miocárdica/historia , Choque Cardiogénico/diagnóstico , Choque Cardiogénico/etiología , Choque Cardiogénico/terapia , Reino Unido , Estados Unidos
18.
Crit Care Clin ; 25(1): 185-200, ix, 2009 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-19268802

RESUMEN

Critical care medicine is a young specialty and since its inception has been heavily reliant upon technology. Invasive monitoring has its humble beginnings in the continuous monitoring of heart rate and rhythm. From the development of right heart catheterization to the adaption of the echocardiogram for use in shock, intensivists have used technology to monitor hemodynamics. The care of the critically ill has been buoyed by investigators who sought to offer renal replacement therapy to unstable patients and worked to improve the monitoring of oxygen saturation. The evolution of mechanical ventilation for the critically ill embodies innumerable technological advances. More recently, critical care has insisted upon rigorous testing and cost-benefit analysis of technological advances.


Asunto(s)
Tecnología Biomédica/historia , Cuidados Críticos/historia , Unidades de Cuidados Intensivos/historia , Tecnología Biomédica/instrumentación , Cateterismo de Swan-Ganz/historia , Cateterismo de Swan-Ganz/instrumentación , Cuidados Críticos/métodos , Ecocardiografía/historia , Ecocardiografía/instrumentación , Europa (Continente) , Historia del Siglo XIX , Historia del Siglo XX , Humanos , Japón , Oximetría/historia , Oximetría/instrumentación , Terapia de Reemplazo Renal/historia , Terapia de Reemplazo Renal/instrumentación , Respiración Artificial/historia , Respiración Artificial/instrumentación , Síndrome de Dificultad Respiratoria/historia , Síndrome de Dificultad Respiratoria/terapia , Sepsis/historia , Sepsis/terapia , Estados Unidos , Ventiladores Mecánicos/historia
19.
Circulation ; 119(1): 147-52, 2009 Jan 06.
Artículo en Inglés | MEDLINE | ID: mdl-19124674

RESUMEN

The Swan-Ganz balloon flotation catheter was introduced in 1970. It can be placed at the bedside within a few minutes even in critically ill patients. Although placement of these catheters is not difficult, some training and experience are required to avoid complications and for proper interpretation of the hemodynamic data that can be obtained by pulmonary artery catheterization. Because of the many advantages of balloon flotation catheters compared with conventional catheters, they have been used without a proper indication and frequently overused in critical care units, resulting in many complications, including mortality. The prospective randomized trials have reported that in the majority of clinical circumstances, the routine use of balloon flotation catheters is not indicated. These results are not surprising because balloon flotation catheters are diagnostic and not therapeutic tools. That we have learned a great deal about hemodynamics in critically ill patients with the use of balloon flotation catheters should not be ignored or forgotten. Furthermore, our clinical knowledge of hemodynamics has been made possible because of extensive experience gained from directly determined hemodynamics with the use of balloon flotation catheters. It should also be realized that despite the introduction and refinement of newer noninvasive imaging modalities, a number of clinical circumstances exist in which determination of hemodynamics with the use of a balloon flotation catheter is necessary and should be considered, but only by experienced physicians. With the proper use of Swan-Ganz catheters, our knowledge of hemodynamics has been enhanced considerably. Its abuse, particularly by relatively inexperienced operators, has resulted in serious complications, including death. Prospective randomized clinical trials have demonstrated that the routine use of Swan-Ganz catheters does not provide any benefit. However, use of the Swan-Ganz catheter is still indicated in many situations.


Asunto(s)
Cateterismo de Swan-Ganz/historia , Cardiopatías/historia , Monitoreo Fisiológico/historia , Cateterismo de Swan-Ganz/métodos , Cateterismo de Swan-Ganz/tendencias , Cardiopatías/diagnóstico , Historia del Siglo XX , Historia del Siglo XXI , Humanos
20.
Cardiol Clin ; 25(4): 565-71; vi, 2007 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-18063160

RESUMEN

The Swan-Ganz catheter was developed 35 to 40 years ago for intensive and cardiac care units to allow bedside placement and continuous monitoring and recording of right-sided heart, pulmonary artery, and wedge pressures and reasonably accurate determinations of cardiac output. Considerations for the clinical application of this balloon-tip, flow-directed, multilumen, thermodilution pulmonary artery catheter in the post-ESCAPE era are presented.


Asunto(s)
Cateterismo de Swan-Ganz , Insuficiencia Cardíaca/fisiopatología , Cateterismo de Swan-Ganz/efectos adversos , Cateterismo de Swan-Ganz/historia , Insuficiencia Cardíaca/terapia , Hemodinámica , Historia del Siglo XX , Humanos , Monitoreo Fisiológico , Guías de Práctica Clínica como Asunto , Edema Pulmonar/diagnóstico , Ensayos Clínicos Controlados Aleatorios como Asunto , Termodilución
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