Swan ganz Vs Picco

  1. Recently our RMO,s and head of our unit ( CCU) has decided to change to PICCo catheter for monitoring, instead of using SwanGanz catheters. Our nurses are a little worried about the change , as we have always used Swans ,as there is very little written about the PICCO we are wondering if it used elsewere?. What do you all use in your units for monitoring? If anyone is using PICCO I would be grateful if I could have a chat,or some information on the pros and cons.
    Thanks
    Jane Aussie
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  2. 5 Comments

  3. by   Janet Barclay
    Hi Jane,
    I guess we're all too embarrassed to admit that we don't know what PICCO's are LOL. I've worked ICU/CCU for 13 years and haven't a clue what you're talking about. Maybe we call it something else?
    We use PA cathters, though less than we used to, and have a continuous cardiac output machine/ SVO2 moniter that only comes out of it's hole every 6 months.
    Janet
  4. by   Jane Wilson
    Hi Janet,
    I think the reason that you have never heard of Picco catheters is that they are called something different in the states. The correct name is Transpulmonary thermodiultion technique and arterial pulse contour analysis. The catheter can be introduced via femoral or radial. They are not used that much in our hospitals, we thought that the USA might be a little more advanced in this field.
    Thanks for your post
    Jane
  5. by   nesje30
    Picco is a system of thermodilution measurement where you need an arterial line (femoral) and a central katheter (3 lumen)
    20 cc of cold nitrate is injected through the central catheter. By thermodilution and pulse contour, you have measures like extravascular lungwater, cardiac output and cardiac idex.
    It works a bit like Swan Ganz, but much less invasive

    sorry for the bad english
    vanessa from belgium
  6. by   TREBORICUNURSE
    Quote from Jane Wilson
    Recently our RMO,s and head of our unit ( CCU) has decided to change to PICCo catheter for monitoring, instead of using SwanGanz catheters. Our nurses are a little worried about the change , as we have always used Swans ,as there is very little written about the PICCO we are wondering if it used elsewere?. What do you all use in your units for monitoring? If anyone is using PICCO I would be grateful if I could have a chat,or some information on the pros and cons.
    Thanks
    Jane Aussie
    Try here - http://allnurses.com/forums/showthread.php?t=62914

    There is a short discusion about PiCCO vs Swan - Ganz.
    My expirience = I think that Swan`s are better method for hemodynamic mesurement.
  7. by   pricklypear
    We use Lidco or Pulseco systems in our unit. I'm not sure what a PiCCO is, but it sounds similar. The system only requires an accurate artline waveform and gives continous, real-time readings. We still use Swans on patients with potential or actual pulmonary pressure problems. The Lidco is only good for CO, CI and SVR. It's also a pain in the *** if you have a bad artline, the patient is in a-fib, or you can't get it calibrated for one reason or another. Personally, I like the Swan since if you know it's positioned properly, you know you have accurate numbers. I'm never sure with the Lidco. They also have to be calibrated every 8-12 hours, which, as I mentioned before, is a pain. Sometimes you'll have great numbers, recalibrate, and the numbers are in the toliet! Anybody else use this system??

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Swan ganz Vs Picco