TITLE

Therapy guided by pulmonary artery catheter for high-risk surgical patients was not better than standard care: COMMENTARY

AUTHOR(S)
Huang, David T.; Angus, Derek C.
PUB. DATE
November 2003
SOURCE
ACP Journal Club;Nov/Dec2003, Vol. 139 Issue 3, p66
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Although pulmonary artery catheter (PAC) has been a bastion of critical care practice for decades, its purported value has recently become controversial. The study by researchers J.D. Sandham and colleagues is a well-done multi-center trial addressing whether routine preoperative use of PACs in high-risk, non-cardiac surgery patients influences hospital mortality. However, one concern is that the stated physiologic goals of cardiac index and oxygen delivery were primarily achieved in the postoperative period. As such, it allows us to conclude that routine preoperative use of PAC in non-cardiac surgery patients is not indicated. In hemodynamically unstable patients with sepsis and the adult respiratory distress syndrome or patients having cardiac surgery, questions remain about whether the PAC is helpful or harmful.
ACCESSION #
11533499

 

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