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CON: Pulmonary artery catheter use should be forgone in modern clinical practice
- Source :
- Annals of Cardiac Anaesthesia, Annals of Cardiac Anaesthesia, Vol 24, Iss 1, Pp 8-11 (2021)
- Publication Year :
- 2021
- Publisher :
- Medknow, 2021.
-
Abstract
- The pulmonary artery catheter (PAC) and its role in the practice of modern medicine remains to be questioned and has experienced a substantial decline in its use in the most recent decades. The complications associated to its use, the lack of consistency of the interpretation provided by the PAC among clinicians, the development of new hemodynamic methods, and the deleterious cost profile associated to the PAC are some of the reasons behind the decrease in its use. Since its introduction into clinical practice, the PAC and the data obtained from its use became paramount in the management of critically ill patients as well as for the high-risk/invasive procedures. Initially, many clinicians were under the impression that regardless the clinical setting, acquiring the information provided by the PAC justified its use, until a growing body of evidence demonstrated its lack of mortality and morbidity improvement, as well as several reports of the presence of difficulties—some of them fatal—during its insertion. The authors present an updated review discussing the futility of the PAC in current clinical practice, the complications associated to its insertion, the lack of mortality benefit in critically ill patients and cardiac surgery, as well as present alternative hemodynamic methods to the PAC.
- Subjects :
- lcsh:Diseases of the circulatory (Cardiovascular) system
medicine.medical_specialty
Modern medicine
Catheters
endocrine system diseases
Critical Illness
medicine.medical_treatment
education
Review Article
Pulmonary Artery
030204 cardiovascular system & hematology
outcomes
lcsh:RD78.3-87.3
03 medical and health sciences
0302 clinical medicine
030202 anesthesiology
health services administration
medicine
Humans
Cardiac Surgical Procedures
Intensive care medicine
business.industry
Critically ill
Hemodynamics
Pulmonary artery catheter
food and beverages
pulmonary artery catheterization
General Medicine
humanities
Cardiac surgery
Clinical Practice
Anesthesiology and Pain Medicine
lcsh:Anesthesiology
lcsh:RC666-701
Catheterization, Swan-Ganz
Cardiology and Cardiovascular Medicine
business
Subjects
Details
- ISSN :
- 09719784
- Volume :
- 24
- Database :
- OpenAIRE
- Journal :
- Annals of Cardiac Anaesthesia
- Accession number :
- edsair.doi.dedup.....761fc36dce7a70de68cc0731fc1c8708