Key result
A review of major studies on the use of the pulmonary artery catheter to reduce operative complications is presented, noting that routine use remains controversial despite some trials showing benefit.
Why the study?
Routine use of invasive monitoring with the pulmonary artery catheter has not achieved widespread acceptance due to skepticism about study validity and known complications.
Does the use of a pulmonary artery catheter reduce operative morbidity and mortality?
Does the use of a pulmonary artery catheter reduce operative morbidity and mortality?
This review discusses the evidence and skepticism surrounding the use of pulmonary artery catheters to reduce operative complications, presenting a rational approach to monitoring.
Answers are grounded in this paper and cite their sources.
Controversy on routine perioperative pulmonary artery catheter use persists; leaves open need for targeted trials in high-risk patients.
Despite several prospective, randomized trials that demonstrated reductions in operative morbidity and mortality rates, routine use of invasive monitoring has not achieved widespread acceptance. This probably comes from skepticism about the validity of some of the studies along with known complications of the pulmonary artery catheter. The major studies are reviewed and a rational approach to monitoring is presented.
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Sola et al. (1993) conducted a review in Operative complications. Pulmonary artery catheter was evaluated. A review of major studies on the use of the pulmonary artery catheter to reduce operative complications is presented, noting that routine use remains controversial despite some trials showing benefit.
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