Review: A pulmonary artery catheter does not reduce mortality or hospital days in critically ill patients: COMMENTARY

Wiedemann, Herbert P.
May 2006
ACP Journal Club;May/Jun2006, Vol. 144 Issue 3, p70
Academic Journal
The article presents comments of the author on a study, conducted by researcher M.R. Shah, which found that a pulmonary artery catheter does not reduce mortality or hospital days in critically ill patients. The study fails to show a benefit of the pulmonary artery catheter (PAC) in a broad range of patients for whom the use of PAC is frequently considered, including high-risk surgical patients, patients with shock and the acute respiratory distress syndrome, general intensive care unit patients and those with decompensated heart failure. While the results of the meta-analysis by Shah and colleagues are sobering, they do not completely preclude the possibility that the PAC can favorably affect clinical outcomes in a focused group of high-risk patients.


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