TITLE

Management with a pulmonary artery catheter did not reduce all-cause mortality in critically ill patients: COMMENTARY

AUTHOR(S)
Filippatos, Gerasimos S.; Schünemann, Holger; Kremastinos, Dimitrios Th.
PUB. DATE
January 2006
SOURCE
ACP Journal Club;Jan/Feb2006, Vol. 144 Issue 1, p21
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
This article comments on the PAC-Man clinical trial which showed that management with a pulmonary artery catheter did not reduce all-cause mortality in critically ill patients. The mortality rate of 69% in the PAC-Man trial was higher than anticipated, indicating that only seriously ill patients had been randomized and that the results may apply primarily to these patients. This trial stands out because of its large sample size and high participation rate. However, the delay from ICU admission to randomization raises concerns about whether earlier placement of the PAC could be beneficial. While effective therapies and interventions are much needed for critically ill patients, introducing potentially harmful interventions is an even greater concern.
ACCESSION #
19516012

 

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