It won't advance: stuck in the SVC or the RA. If there is enough catheter length in the patient, but it just won't go in the RV…
It won't advance: stuck in the RV
It won't advance, and it looks arterial, but it is not deep enough
I deflated the balloon, but it looks wedged again.
My patient now has an arrhythmia.
My patient has complete heart block.
Where is the catheter tip on Xray?
How can you tell that it is in the third zone?
You can also use peripheral ABG and wedge ABG parameters.
This a full-text version of the seminal paper from 1970:
Swan HJ, Ganz W, Forrester J, Marcus H, Diamond G, Chonette D (August 1970). "Catheterization of the heart in man with use of a flow-directed balloon-tipped catheter". N. Engl. J. Med. 283 (9): 447–51.
A manufacturer (Edwards) offers some free information about the PA catheter on their product page.
The PA catheter section from The ICU Book by Paul L Marino (3rd edition, 2007) is a valuable read.
Additionally, UpToDate has an article on PA catheter positioning. They, in turn, reference an article from Lung, which I cannot provide a full-text link to.
Summerhill EM, Baram M. Principles of pulmonary artery catheterization in the critically ill. Lung 2005; 183:209.
Awad, Hamdy, et al. "Inadvertent placement of a pulmonary artery catheter in the coronary sinus: is it time to increase our sweep speed?." Journal of clinical anesthesia 23.6 (2011): 492-497.
Safwat, Amira M. "Difficult flotation of a pulmonary artery catheter: echocardiographic diagnosis." Journal of clinical anesthesia 13.3 (2001): 239.
Lai, Y. C., et al. "Difficult pulmonary artery catheterization in a patient with persistent left superior vena cava." Anaesthesia and intensive care 26.6 (1998): 671-673.