Format

Send to

Choose Destination
J Cardiothorac Vasc Anesth. 2016 Jun;30(3):579-84. doi: 10.1053/j.jvca.2015.11.012. Epub 2015 Nov 14.

Pulmonary Artery Catheter Use During Cardiac Surgery in the United States, 2010 to 2014.

Author information

1
Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Boston, MA.
2
US Anesthesia Partners (USAP), Fort Lauderdale, FL.
3
Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Boston, MA. Electronic address: rurman@partners.org.

Abstract

OBJECTIVES:

To examine patterns of use of pulmonary artery catheters in a large cohort of patients undergoing cardiac surgery.

DESIGN:

A retrospective study with univariate and multivariate logistic regression to identify independent predictors for the utilization of pulmonary artery catheters.

SETTING:

University, small, medium and large community hospitals participating in the National Anesthesia Clinical Outcomes Registry.

PARTICIPANTS:

A total of 116,333 patients undergoing pulmonary artery catheter placement during cardiac surgery in the National Anesthesia Clinical Outcomes Registry from the Anesthesia Quality Institute.

MEASUREMENTS AND MAIN RESULTS:

Age older than 50 years, American Society of Anesthesiologists classification of 3 or higher, case duration of longer than 6 hours, and presence of a resident physician or certified nurse anesthetist were associated with increased likelihood of pulmonary artery catheter (PAC) placement. Age<18 years, or presence of a board-certified anesthesiologist, were associated with a decreased likelihood of catheter placement. The use of PACs has increased from 2010 to 2014. The presence of a PAC did not alter the risk of cardiac arrest intraoperatively. A nonsignificant decrease in mortality was associated with catheter placement. Transfusion was 75% less likely in the PAC cohort than in the control group.

CONCLUSIONS:

Pulmonary artery catheter use remains a mainstay of cardiac anesthesia practice. No significant change in the incidence of intraoperative death was noted, but patients with a PAC were less likely to have blood transfused.

KEYWORDS:

anesthesiology; cardiac surgery; outcomes; pulmonary artery catheter

PMID:
26947712
DOI:
10.1053/j.jvca.2015.11.012
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center