Jolliet P, Chevrolet J C
Soins intensifs de médecine, Hôpital cantonal universitaire, Genève.
Schweiz Med Wochenschr. 1992 Sep 19;122(38):1394-401.
The Swan Ganz pulmonary artery catheter is widely used in the intensive care unit. It allows the determination of important hemodynamic parameters. Among these, pulmonary artery occlusion pressure ("wedge" pressure) is often considered to reflect accurately left ventricular preload and pulmonary capillary hydrostatic pressure. However, many interferences may render data interpretation difficult, especially in patients undergoing mechanical ventilation. This article reviews some of these pitfalls.