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Canadian Journal of Anesthesia, Vol 28, 86-88, Copyright © 1981 by Canadian Anesthesiologists' Society

Swan-Ganz Catheter Contamination: A Protective Sleeve for Repositioning

MICHEL C. BESSETTE 1, LUC QUINTIN 1, DAVID G. WHALLEY 1, and J. EARL WYNANDS 1

1 Department of Anaesthesia, Royal Victoria Hospital, Montreal, Quebec

Valuable haemodynamic data can be derived from a properly positioned Swan-Ganz catheter. Unfortunately, a significant number of these catheters will, for one reason or another, become malpositioned. Withdrawing a catheter from a permanently wedged position presents little difficulty. Repositioning may, however, necessitate its advancement, with the attendant risk of bacterial contamination.

We have solved this problem by making a protective sleeve from readily available latex drain and tubing, which fits securely over the haemostatic valve of a No. 8F Cordis introducer. Iodine solution is injected into the sleeve to provide a sterile environment for the Swan-Ganz catheter, which can then be repositioned as required without the risk of bacterial contamination, as verified by bacteriological studies.

Key Words: EQUIPMENT, Swan-Ganz catheter, repositioning






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Copyright © 1981 by the Canadian Anesthesiologists' Society.