Hemodynamic assessment: the technique or the physician at fault?

de Backer, Daniel
November 2003
Intensive Care Medicine;Nov2003, Vol. 29 Issue 11, p1865
Academic Journal
This article discusses various issues related to hemodynamic assessment. The diagnosis of hemodynamic alterations and the management of acute circulatory failure are a continuous challenge in daily practice. The pulmonary artery catheter (PAC) has long been the main method of diagnosis, but recent studies have challenged its use. In a retrospective study in which a propensity score was used to compare patients, it has been observed that the use of the PAC is associated with an increased risk of mortality. A possible explanation for the ineffectiveness of the PAC is the inadequacy of the decisions made as a result of using the PAC.


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