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. 2006;10(4):162.
doi: 10.1186/cc5021.

The pulmonary artery catheter: the tool versus treatments based on the tool

Jukka Takala  1
Affiliations

The pulmonary artery catheter: the tool versus treatments based on the tool

Jukka Takala. Crit Care. 2006.

Abstract

The pulmonary artery catheter (PAC) is a powerful tool that has been used extensively in the assessment and monitoring of cardiovascular physiology. Gross misinterpretation of data gathered by the PAC is common, and its routine use without any specific interventions has not been shown to influence outcome. However, there currently is no evidence from randomized, controlled trials that any diagnostic or monitoring tool used in intensive care patients improves outcome. Studies evaluating the use of the PAC have included numerous potential confounding factors, and should be interpreted with caution. The information obtained with the PAC should be used to find better treatment strategies, and these strategies, instead of the tool itself, should be tested in clinical trials.

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References

    1. Rhodes A, Cusack RJ, Newman PJ, Grounds RM, Bennett ED. A randomised, controlled trial of the pulmonary artery catheter in critically ill patients. Intensive Care Med. 2002;28:256–264. doi: 10.1007/s00134-002-1206-9. - DOI - PubMed
    1. Richard C, Warszawski J, Anguel N, Deye N, Combes A, Barnoud D, Boulain T, Lefort Y, Fartoukh M, Baud F, Boyer A, Brochard L, Teboul JL, French Pulmonary Artery Catheter Study Group Early use of the pulmonary artery catheter and outcomes in patients with shock and acute respiratory distress syndrome: a randomized controlled trial. JAMA. 2003;290:2713–2720. doi: 10.1001/jama.290.20.2713. - DOI - PubMed
    1. Ivanov R, Allen J, Calvin JE. The incidence of major morbidity in critically ill patients managed with pulmonary artery catheters: a meta-analysis. Crit Care Med. 2000;28:615–619. doi: 10.1097/00003246-200003000-00002. - DOI - PubMed
    1. Chittock DR, Dhingra VK, Ronco JJ, Russell JA, Forrest DM, Tweeddale M, Fenwick JC. Severity of illness and risk of death associated with pulmonary artery catheter use. Crit Care Med. 2004;32:911–915. doi: 10.1097/01.CCM.0000119423.38610.65. - DOI - PubMed
    1. Afessa B, Spencer S, Khan W, LaGatta M, Bridges L, Freire AX. Association of pulmonary artery catheter use with in-hospital mortality. Crit Care Med. 2001;29:1145–1148. doi: 10.1097/00003246-200106000-00010. - DOI - PubMed