X-ray - Mobile chest radiograph
Frontal
Which veins are typically used to introduce a pulmonary artery catheter into the body?
Ease of placement from easiest to difficult : right internal jugular > left subclavian > left internal jugular > right subclavian.
Why is a pulmonary artery catheter called a Swan-Ganz catheter?
In honor of its inventors William Ganz and HJC (Harold James Charles) "Jeremy" Swan who introduced the first balloon flotation flow-directed catheter that did not require image-guidance for insertion.
What is the risk of placing a pulmonary artery catheter distal to the pulmonary arteries?
If the catheter lies too distally and the balloon is inflated there is a high risk of pulmonary infarction.
The endotracheal tube tip is approximately 47mm above the carina. The nasogastric tube tip is not visualised however projects below the diaphragm. Interval insertion of a Swan-Ganz catheter. There is a right-sided PICC line, with its tip projecting over the superior right atrium. There is convexity at the pulmonary artery, in keeping with the known history of pulmonary arterial hypertension. Interval development of bilateral patchy consolidation in the mid to lower zones, worse on the right side. No large pleural effusion. No supine pneumothorax.