The pulmonary artery catheter: in medio virtus

Vincent, Jean-Louis; Pinsky, Michael R; Sprung, Charles L; Levy, Mitchell; Marini, John J; Payen, Didier; Rhodes, Andrew; Takala, Jukka (2008). The pulmonary artery catheter: in medio virtus. Critical care medicine, 36(11), pp. 3093-6. Baltimore, Md.: Lippincott Williams & Wilkins 10.1097/CCM.0b013e31818c10c7

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OBJECTIVE: To clarify the role of the pulmonary artery catheter in the intensive care unit. DATA SOURCES: Recent and relevant literature from MEDLINE and authors' personal databases. STUDY SELECTION: Studies on pulmonary artery catheter use and use of other monitoring devices in critically ill patients. DATA EXTRACTION: Based largely on clinical experience and assessment of the relevant published literature and in response to recent articles attacking the pulmonary artery catheter, we propose that the pulmonary artery catheter is still a valuable tool for the hemodynamic monitoring of patients with complex disease processes in whom the information obtained from the pulmonary artery catheter may influence management. We suggest that there is a need to revisit the basics of hemodynamic management and reassess the way in which the pulmonary artery catheter is used, applying three key principles: correct measurement, correct data interpretation, and correct application. CONCLUSION: The pulmonary artery catheter is still a valuable tool for hemodynamic monitoring when used in selected patients and by physicians adequately trained to correctly interpret and apply the data provided.

Item Type:

Journal Article (Further Contribution)

Division/Institute:

04 Faculty of Medicine > Department of Intensive Care, Emergency Medicine and Anaesthesiology (DINA) > Clinic of Intensive Care

UniBE Contributor:

Takala, Jukka

ISSN:

0090-3493

ISBN:

18824901

Publisher:

Lippincott Williams & Wilkins

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 15:04

Last Modified:

04 May 2014 23:19

Publisher DOI:

10.1097/CCM.0b013e31818c10c7

PubMed ID:

18824901

Web of Science ID:

000260694200022

URI:

https://boris.unibe.ch/id/eprint/27837 (FactScience: 112390)

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