In what situations is a Swan-Ganz catheter useful for managing patients?

Whenever knowledge of cardiac output or pulmonary artery pressure would change management, a Swan-Ganz catheter is useful, because clinical data are unreliable for predicting these parameters. It is most often used in the following situations:

To differentiate cardiogenic from noncardiogenic pulmonary edema

In the management of congestive heart failure refractory to conventional treatment, especially in the setting of acute myocardial infarction

Following cardiac surgery

In the management of patients in shock

In the management of patients with large shifts in intravascular fluid volume, such as following extensive burns or trauma or after major surgery

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