ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Robert D. Stewart
Stephen J. Lahey
Sidney Levitsky
Christian T. Campos
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Stewart, R. D.
Right arrow Articles by Campos, C. T.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Stewart, R. D.
Right arrow Articles by Campos, C. T.

Ann Thorac Surg 1998;66:1306-1311
© 1998 The Society of Thoracic Surgeons

Original articles: cardiovascular

Central venous catheter use in low-risk coronary artery bypass grafting

Robert D. Stewart, MDa, Triffin Psyhojos, MDb, Stephen J. Lahey, MDa, Sidney Levitsky, MDa, Christian T. Campos, MDa

a Division of Cardiothoracic Surgery, Beth Israel Deaconess Medical Center, West Campus, Harvard Medical School, Boston, Massachusetts, USA
b Department of Anesthesia, Beth Israel Deaconess Medical Center, West Campus, Harvard Medical School, Boston, Massachusetts, USA

Accepted for publication May 7, 1998.

Address reprint requests to Dr Campos, Division of Cardiothoracic Surgery, Beth Israel Deaconess Medical Center, West Campus, Suite 2C, 110 Francis St, Boston, MA 02215

Background. To assess the impact of central venous pressure catheter monitoring in low-risk coronary artery bypass grafting (CABG), we compared the hospital course of patients undergoing CABG with central venous pressure catheter monitoring with that of similar patients undergoing CABG with pulmonary artery catheter monitoring.

Methods. All isolated primary CABG procedures (n = 312) performed between April 22 and October 31, 1996, were evaluated, and 194 patients meeting six central venous pressure catheter use criteria were identified. Of these 194 patients, 133 (68%) underwent CABG with central venous pressure catheter monitoring, and 61 (32%) had pulmonary artery catheter monitoring owing to surgeon or anesthesiologist preference.

Results. In-hospital mortality was similar. A trend toward increased overall complications was seen in the pulmonary artery catheter group. The total volume infused in the first 12 hours, the 24-hour weight gain, and the intubation time were significantly greater in the pulmonary artery catheter group. Increases in intensive care unit length of stay and in total hospital charges trended toward statistical significance in the pulmonary artery catheter group.

Conclusions. Pulmonary artery catheter use in low-risk patients undergoing CABG was associated with greater weight gain and longer intubation time and may be associated with increased morbidity and utilization of hospital resources.




This article has been cited by other articles:


Home page
 Ann. Thorac. Surg.Home page
T. A. Schwann, A. Zacharias, C. J. Riordan, S. J. Durham, M. Engoren, and R. H. Habib
Safe, highly selective use of pulmonary artery catheters in coronary artery bypass grafting: an objective patient selection method
Ann. Thorac. Surg., May 1, 2002; 73(5): 1394 - 1401.
[Abstract] [Full Text] [PDF]

Home page
 Anesth. Analg.Home page
S. D. Surgenor, G. T. O'Connor, S. J. Lahey, R. Quinn, D. C. Charlesworth, L. J. Dacey, R. A. Clough, B. J. Leavitt, G. R. Defoe, M. Fillinger, et al.
Predicting the Risk of Death from Heart Failure After Coronary Artery Bypass Graft Surgery
Anesth. Analg., March 1, 2001; 92(3): 596 - 601.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
E. Ovrum, G. Tangen, C. Schiott, and S. Dragsund
Rapid recovery protocol applied to 5,658 consecutive ""on-pump"" coronary bypass patients
Ann. Thorac. Surg., December 1, 2000; 70(6): 2008 - 2012.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
R. Svedjeholm, E. Hakanson, and Z. Szabo
Routine SvO2 measurement after CABG surgery with a surgically introduced pulmonary artery catheter
Eur. J. Cardiothorac. Surg., October 1, 1999; 16(4): 450 - 457.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 1998 by The Society of Thoracic Surgeons.