Routine Pulmonary Artery Catheterization Does Not Reduce Morbidity and Mortality of Elective Vascular Surgery

Abstract

Routine PAC use in elective vascular surgery increases the volume of fluid given to patients without demonstrable improvement in morbidity or mortality.

I Diretriz Latino-Americana para avaliação e conduta na insuficiência cardíaca descompensada

“…Different prospective studies have evaluated the efficacy of invasive monitoring of the pulmonary artery in high risk surgical patients [150][151][152] . There were no differences among the patients who received therapy guided by parameters offered by the pulmonary artery catheter and the patients with a clinical follow-up.…”

Pulmonary artery catheters in cardiovascular surgery

“…7 In two other small RCTs of patients undergoing elective vascular surgery (some undergoing AAR) the PAC was used to guide therapy aimed at "optimizing" oxygen delivery. 8,9 These studies also showed no improvement in outcome associated with the PAC. Cardiovascular anesthesiologists may also have been swayed by the results of uncontrolled, observational studies in which PAC use has been associated with increased mortality and resource utilization in various patient populations including those with complicated myocardial infarction, 10 critical illness, 1 1 or undergoing noncardiac surgery.…”

Systematic Review of Evidence-Based in Beneficial Preventing Hypothermia for Adult Trauma Patients in Accident.

“…However, its routine use is often precluded in trauma patients because it is technically cumbersome to insert and is associated with its own complications, including arrhythmias, perforation, and pericardial tamponade (41) . The PAC has not been shown to improve clinical outcomes and has fallen out of favor for routine use in most noncardiac intensive care situations (42) .…”