We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......

Method for Reintroduction of Swan-Ganz Catheter

Arch Surg. 1981;116(4):483. doi:10.1001/archsurg.1981.01380160093024.
Text Size: A A A
Published online

To the Editor.—Modern critical care medicine depends extensively on invasive monitoring techniques to provide timely information about the rapidly fluctuating physiologic environment of the seriously ill or injured patient. The Swan-Ganz pulmonary artery catheter, in particular, provides data that are difficult to gather by other means. Unfortunately, catheter malfunction due to clotting, balloon rupture, environmental misadventure, etc, frequently confronts the critical care staff.

Early in the course of a major illness, vascular access is often relatively easily obtained. As a patient becomes a long-term resident of the critical care unit, entry into the venous circulation becomes more difficult. Some patients, notably those who are elderly and obese, pose a challenge to venous catheterization from the time of admission.

At our institution, the infection rate for indwelling monitors, especially central venous catheters and intracranial pressure monitors, is relatively low, but rises exponentially after 72 hours. Most catheter-induced infections can be


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.