Cor Vasa 2010, 52(7-8):458-460 | DOI: 10.33678/cor.2010.121
The pulmonary catheter - to use or not to use?
- Kardiologické oddělení, Kardiovaskulární centrum, Fakultní nemocnice Motol, Praha, Česká republika
The role of the pulmonary artery catheter (PAC) or the Swan-Ganz catheter in the monitoring and management of the critically ill patient has not yet been conclusively defined. Despite the initial excessive enthusiasm in the 1970s as well as efforts seeking a moratorium in the 1980s, and the recently completed multicenter, randomized studies, a beneficial effect on morbidity and mortality of its use in the above population of patients has not been clearly demonstrated to date. The aim of our study was to provide, using relevant publications and our own clinical experience, a rationale for PAC use in specific serious clinical circumstances.
Keywords: Pulmonary artery catheter; Complications; Benefit
Published: July 1, 2010 Show citation
References
- Robin ED. Death by pulmonary artery flow-directed catheter: time for a moratorium? Chest 1987;92:727-731.
Go to original source...
Go to PubMed...
- Robin ED. Defenders of the pulmonary artery catheter. Chest 1988;93: 1059-1066.
Go to original source...
Go to PubMed...
- Dalen JE, Bone RC. Is it time to pull the pulmonary artery catheter? JAMA 1996;276:916-918.
Go to original source...
Go to PubMed...
- Swan HJC, Ganz W, Forrester J, et al. Catheterization of the heart in man with use of a flow-directed balloon-tipped catheter. N Engl J Med 1970;283:447-451.
Go to original source...
Go to PubMed...
- Connors AF Jr, Speroff T, Dawson NV, et al.; the SUPPORT Investigators. The effectiveness of right heart catheterization in the initial care of critically ill patients. JAMA 1996;276:889-897.
Go to original source...
- Moller JT, Pedersen T, Rasmussen LS, et al. Randomised evaluation of pulse oximetry in 20,820 patients: design, demography, pulse oximetry failure, and overall complication rate. Anesthesiology 1993;78:436-444.
Go to original source...
Go to PubMed...
- Harvey S, Harrison DA, Singer M, et al. Assessment of the clinical effectiveness of pulmonary artery catheters in management of patients in intensive care (PAC-Man): a randomised controlled trial. Lancet 2005;366:472-477.
Go to original source...
Go to PubMed...
- Binanay C, Califf RM, Hasselblad V, et al. Evaluation study of congestive heart failure and pulmonary artery catheterization effectiveness: the ESCAPE trial. JAMA 2005;294:1625-1633.
Go to original source...
Go to PubMed...
- Boyd KD, Thomas SJ, Gold J, Boyd AD. A prospective study of complications of pulmonary artery catheterizations in 500 consecutive patients. Chest 1983;84:245-249.
Go to original source...
Go to PubMed...
- Ducatman BS, McMichan JC, Edwards WD. Catheter-induced lesions of the right side of the heart. A one-year prospective study of 141 autopsies. JAMA 1985;253:791-795.
Go to original source...
Go to PubMed...
- Pulmonary Artery Catheter Consensus Conference: consensus statement. Crit Care Med 1997;25:910-925.
- Schwann TA, Zacharias A, Riordan CJ, et al. Safe, highly selective use of pulmonary artery catheters in coronary artery bypass grafting: an objective patient selection method. Ann Thorac Surg 2002;73:1394-1402.
Go to original source...
- Handa F, Kyo SE, Miyao H. Reduction in the use of pulmonary artery catheter for cardiovascular surgery [in Japanese]. Masui 2003;52:420-423.
Go to PubMed...
- Oh JK. Echocardiography as a noninvasive Swan-Ganz catheter. Circulation 2005;111:3192-3194.
Go to original source...
Go to PubMed...
- Polonen P, Ruokonen E, Hippelainen M, et al. A prospective, randomized study of goal-oriented hemodynamic therapy in cardiac surgical patients. Anesth Analg 2000;90:1052-1059.
Go to original source...
- Zion MM, Balkin J, Rosenmann D, et al. Use of pulmonary artery catheters in patients with acute myocardial infarction. Chest 1990;98:1331-1335.
Go to original source...
Go to PubMed...
- Gore JM, Goldberg RJ, Spodick DH, et al. A community-wide assessment of the use of pulmonary artery catheters in patients with acute myocardial infarction. Chest 1987;92:721-727.
Go to original source...
Go to PubMed...
- Richard C, Warszawski J, Anguel N, et al.; French Pulmonary Artery Catheter Study Group. Early use of the pulmonary artery catheter and outcomes in patients with shock and acute respiratory distress syndrome. JAMA 2003;290:2713-2720.
Go to original source...
Go to PubMed...
- Tuman KJ, McCarthy RJ, Spiess BD, et al. Effect of pulmonary artery catheterization on outcome in patients undergoing coronary artery surgery. Anesthesiology 1989;70:199-206.
Go to original source...
Go to PubMed...
- Isaacson IJ, Lowdon JD, Berry AJ, et al. The value of pulmonary artery and central venous monitoring in patients undergoing abdominal aortic reconstructive surgery: a comparative study of two selected, randomized groups. J Vasc Surg 1990;12:754-760.
Go to original source...
- National Institutes of Health/National Heart, Lung, and Blood Institute Acute Respiratory Distress Syndrome Clinical Trials Network. Steward RM, Park PK, Hunt JP, et al. Less is more: improve outcomes in surgical patients with conservative fluid administration and central venous catheter monitoring. J Am Coll Surg 2009;208:725-735.
Go to original source...
Go to PubMed...
- Rhodes A, Cusack RJ, Newman PJ, et al. A randomised, controlled trial of the pulmonary artery catheter in critically ill patients. Intens Care Med 2002;28:256-264.
Go to original source...
Go to PubMed...
- Vincent JL, Dhainaut JF, Perret C, et al. Is the pulmonary artery catheter misused? A European view. Crit Care Med 1998;26:1283-1287.
Go to original source...
- Pinsky MR, Vincent JL. Let us use the PAC correctly and only when we need it. Crit Care Med 2005;33:1119-1122.
Go to original source...
- Payen D, Gayat E. Which general intensive care unit patients can benefit from placement of the pulmonary artery catheter? Crit Care 2006;10 (Suppl 3):S7.
Go to original source...
Go to PubMed...