Crit Care. 2006;10 Suppl 3:S8.

Evidence-based review of the use of the pulmonary artery catheter: impact data and complications.

Source

Department of Critical Care Medicine, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.

Abstract

The pulmonary artery catheter (PAC) was introduced in 1971 for the assessment of heart function at the bedside. Since then it has generated much enthusiasm and controversy regarding the benefits and potential harms caused by this invasive form of hemodynamic monitoring. This review discusses all clinical studies conducted during the past 30 years, in intensive care unit settings or post mortem, on the impact of the PAC on outcomes and complications resulting from the procedure. Although most of the historical observational studies and randomized clinical trials also looked at PAC-related complications among their end-points, we opted to review the data under two main topics: the impact of PAC on clinical outcomes and cost-effectiveness, and the major complications related to the use of the PAC.

PMID:: 17164020; [PubMed - indexed for MEDLINE]
PMCID:: PMC3226129

Free PMC Article

Publication Types, MeSH Terms, Grant Support

Publication Types

MeSH Terms

Grant Support

LinkOut - more resources

Full Text Sources

Other Literature Sources

Medical

Critical Care - MedlinePlus Health Information

Libraries

LinkOut Holdings

Supplemental Content

Save items

Related citations in PubMed

The pulmonary artery (Swan-Ganz) catheter. Evaluation of a hemodynamic monitoring device in critical care medicine. [Int J Technol Assess Health Ca...]
The pulmonary artery (Swan-Ganz) catheter. Evaluation of a hemodynamic monitoring device in critical care medicine.
Pagliarello G. Int J Technol Assess Health Care. 1993 Spring; 9(2):202-9.
Review An evaluation of the clinical and cost-effectiveness of pulmonary artery catheters in patient management in intensive care: a systematic review and a randomised controlled trial. [Health Technol Assess. 2006]
Review An evaluation of the clinical and cost-effectiveness of pulmonary artery catheters in patient management in intensive care: a systematic review and a randomised controlled trial.
Harvey S, Stevens K, Harrison D, Young D, Brampton W, McCabe C, Singer M, Rowan K. Health Technol Assess. 2006 Aug; 10(29):iii-iv, ix-xi, 1-133.
Review The pulmonary artery catheter: economic aspects. [New Horiz. 1997]
Review The pulmonary artery catheter: economic aspects.
Chalfin DB. New Horiz. 1997 Aug; 5(3):292-6.
Impact of the pulmonary artery catheter in critically ill patients: meta-analysis of randomized clinical trials. [JAMA. 2005]
Impact of the pulmonary artery catheter in critically ill patients: meta-analysis of randomized clinical trials.
Shah MR, Hasselblad V, Stevenson LW, Binanay C, O'Connor CM, Sopko G, Califf RM. JAMA. 2005 Oct 5; 294(13):1664-70.
Review The evidence-based character of the pulmonary artery catheter (in cardiac patients). [Eur J Cardiovasc Nurs. 2004]
Review The evidence-based character of the pulmonary artery catheter (in cardiac patients).
Bakker R. Eur J Cardiovasc Nurs. 2004 Jul; 3(2):165-71.

See reviews... See all...

Cited by 4 PubMed Central articles

Asystole during pulmonary artery catheter insertion under general anesthesia. [Indian J Crit Care Med. 2012]
Asystole during pulmonary artery catheter insertion under general anesthesia.
Chaudhuri S, Ortega D, Chaudhuri K. Indian J Crit Care Med. 2012 Jan; 16(1):41-3.
Review Pulmonary vascular and right ventricular dysfunction in adult critical care: current and emerging options for management: a systematic literature review. [Crit Care. 2010]
Review Pulmonary vascular and right ventricular dysfunction in adult critical care: current and emerging options for management: a systematic literature review.
Price LC, Wort SJ, Finney SJ, Marino PS, Brett SJ. Crit Care. 2010; 14(5):R169. Epub 2010 Sep 21.
Noninvasive cardiac output and blood pressure monitoring cannot replace an invasive monitoring system in critically ill patients. [BMC Anesthesiol. 2009]
Noninvasive cardiac output and blood pressure monitoring cannot replace an invasive monitoring system in critically ill patients.
Stover JF, Stocker R, Lenherr R, Neff TA, Cottini SR, Zoller B, Béchir M. BMC Anesthesiol. 2009 Oct 12; 9:6. Epub 2009 Oct 12.

See all...

Related information

Related Citations
Calculated set of PubMed citations closely related to the selected article(s) retrieved using a word weight algorithm. Related articles are displayed in ranked order from most to least relevant, with the “linked from” citation displayed first.
References for this PMC Article
Citation referenced in PubMed article. Only valid for PubMed citations that are also in PMC.
Free in PMC
Free full text articles in PMC
Cited in PMC
Full-text articles in the PubMed Central Database that cite the current articles.

Recent activity

Clear Turn Off Turn On

Evidence-based review of the use of the pulmonary artery catheter: impact data a...
Evidence-based review of the use of the pulmonary artery catheter: impact data and complications.
Crit Care. 2006 ;10 Suppl 3:S8.

PubMed
Two-step model of leukocyte-endothelial cell interaction in inflammation: distin...
Two-step model of leukocyte-endothelial cell interaction in inflammation: distinct roles for LECAM-1 and the leukocyte beta 2 integrins in vivo.
Proc Natl Acad Sci U S A. 1991 Sep 1 ;88(17):7538-42.

PubMed
Mortality risk scales in esophagectomy for cancer: their usefulness in preoperat...
Mortality risk scales in esophagectomy for cancer: their usefulness in preoperative patient selection.
Hepatogastroenterology. 2006 Nov-Dec ;53(72):869-73.

PubMed
Expression of endothelial leukocyte adhesion molecule-1 in septic but not trauma...
Expression of endothelial leukocyte adhesion molecule-1 in septic but not traumatic/hypovolemic shock in the baboon.
Am J Pathol. 1991 Aug ;139(2):461-6.

PubMed
Inpatient disposition classification for the creation of hospital surge capacity...
Inpatient disposition classification for the creation of hospital surge capacity: a multiphase study.
Lancet. 2006 Dec 2 ;368(9551):1984-90.

PubMed

Your browsing activity is empty.

Activity recording is turned off.

Turn recording back on

PubMed

Result Filters

Display Settings:

Send to: