Use of Pulmonary Artery Catheters in Patients with Acute Myocardial Infarction

Zion, Monty M.; Balkin, Jonathan; Rosenmann, David; Goldbourt, Uri; Reicher-Reiss, Henrietta; Kaplinsky, Elieser; Behar, Solomon

doi:10.1378/chest.98.6.1331

Cited by 191 publications

(51 citation statements)

References 7 publications

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“…These observations were partially explained by case-mix differences between the groups of the study. [59][60][61] Similar observational findings have subsequently been reported in other groups of patients. 47,61,62 A recent prospective randomized study enrolling a mixed group of critically ill patients failed to demonstrate a difference in outcome, although randomization to the PAC led to increased fluid resuscitation within the first 24 h. The PAC did not cause harm to patients, rather it was the use of the information derived from the catheter (sometimes in an inappropriate fashion) that was detrimental.…”

Section: Central Venous Pressure Lines Central Venous Lines Provide supporting

confidence: 86%

Executive summary of the guidelines on the diagnosis and treatment of acute heart failure: The Task Force on Acute Heart Failure of the European Society of Cardiology

Nieminen

Priori²,

García³

et al. 2005

European Heart Journal

1,011

114

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Section: Central Venous Pressure Lines Central Venous Lines Provide supporting

confidence: 86%

Executive summary of the guidelines on the diagnosis and treatment of acute heart failure: The Task Force on Acute Heart Failure of the European Society of Cardiology

Nieminen

Priori²,

García³

et al. 2005

European Heart Journal

1,011

114

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“…In the 1990's a number of non-randomized cohort and case-control studies associating the use of PAC with increased mortality were published with increasing concern raised about its widespread use. 1, 3,4 Sandham and colleagues on behalf of the Canadian Critical Care Clinical Trials Group recently reported on a randomized controlled trial of PAC use in 1994 high-risk geriatric surgical patients. 5 They found no difference in the mortality rate (7.8% PAC vs 7.7% control) or length of hospitalization among patients treated with the aid of a PAC as compared to those managed without this device.…”

Section: Conclusion : Le Do Est Un Appareil De Mesure Périopératoire mentioning

confidence: 99%

Utility of esophageal Doppler as a minimally invasive hemodynamic monitor: a review

Laupland

Bands

2002

Can J Anesth/J Can Anesth

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P Pu ur rp po os se e: : The current bedside "gold standard" for cardiac output (CO) monitoring is thermodilution using a pulmonary artery catheter (PAC) but there is a number of risks associated with its use. The primary objective of this review was to evaluate the utility of esophageal Doppler (ED) as a minimally invasive monitor of CO. S So ou ur rc ce e: : Medline literature search from 1966 to 2001 with citation review for studies comparing ED to PAC thermodilution for CO in perioperative and critically ill patients. P Pr ri in nc ci ip pa al l f fi in nd di in ng gs s: : Twenty-five publications were identifed comparing ED and PAC measurement of CO in a broad range of patients. There was a good overall correlation between CO determined by ED and thermodilution (n = 18 studies, median R = 0.89, range 0.52 to 0.98) and minimal bias (n = 13, median -0.01, range 1.38 to 2 L·min -1 ). The precision of ED was only fair overall as assessed by limits of agreement. The ED technique was found to be responsive in detecting changes in thermodilution CO and was reliable demonstrating both low intra-and inter-observer variation. ED was reportedly easy to insert after minimal training and was safe, with no significant complications identified. C Co on nc cl lu us si io on n: : ED is a practical, reliable, and valid device for measuring CO in perioperative and critically ill patients. Further studies with larger numbers of patients are needed to determine if the limited precision observed is inherent to the technique, the diagnoses of patients studied, or the small sample sizes.

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“…This is similar to what is reported in the literature (15) and possibly reflects the success of revascularization in reducing infarct size and the development of cardiogenic shock, as well as changing practice patterns. This decline in Swan-Ganz monitoring has been shown by others to reduce the rate of iatrogenic complications (16,17). Significance of the study Our findings have historical interest and put numbers on the increasing performance of CCUs in managing more patients while reducing in-hospital mortality.…”

Section: Discussion Interpretationmentioning

confidence: 78%

Demographics, treatment and outcome of acute coronary syndromes: 17 years of experience in a specialized cardiac centre

Awaida¹,

Dupuis²,

Théroux³

et al. 2006

Canadian Journal of Cardiology

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Use of Pulmonary Artery Catheters in Patients with Acute Myocardial Infarction

Cited by 191 publications

References 7 publications

Executive summary of the guidelines on the diagnosis and treatment of acute heart failure: The Task Force on Acute Heart Failure of the European Society of Cardiology

Executive summary of the guidelines on the diagnosis and treatment of acute heart failure: The Task Force on Acute Heart Failure of the European Society of Cardiology

Utility of esophageal Doppler as a minimally invasive hemodynamic monitor: a review

Demographics, treatment and outcome of acute coronary syndromes: 17 years of experience in a specialized cardiac centre

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