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Year : 2007  |  Volume : 51  |  Issue : 2  |  Page : 151

Unusual migration of pulmonary artery catheter

1 FRCA, Senior House Officer, Department of Anaesthetics, Lincoln County Hospital, United Lincolnshire Hospitals NHS Trust, Greetwell Road, Lincoln LN2 4AZ, United Kingdom
2 FRCA, Consultant, Anaesthetics and Intensive care, Department of Anaesthetics, Nevill Hall Hospital, Gwent Healthcare NHS Trust, Brecon Road, Abergavenny, Monmouthshire NP7 7EG, United Kingdom

Correspondence Address:
Sanjay Kuravinakop
FRCA, Senior House Officer Dept. of Anaesthetics Lincoln County Hospital, United Lincolnshire Hospitals NHS Trust Greetwell Road, Lincoln LN2 4AZ
United Kingdom
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Source of Support: None, Conflict of Interest: None

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Pulmonary artery catheter is widely used in intensive care. Distal migration of the catheter is a know complication. Diagnosis of such a migration is made by both clinical criteria and radiographs. A 55 year old septic lady was admitted to the intensive care unit. Pulmonary artery catheter introduced for cardiac output monitoring migrated from right lung to left lung. Diagnosis was made following a chest radiograph the following day of insertion with the clinical criteria remaining unaltered. Migration of pulmonary artery catheter can occur not only distally but from one lung to another. Clinical criteria alone cannot rule out migration. Chest radiographs form an important part in monitoring the position of the pulmonary artery catheter.

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