PULMONARY ARTERY CATHETERS IMPROVE HEMODYNAMIC MANAGEMENT IN CRITICALLY ILL PATIENTS WITH DIFFUSE PULMONARY INFILTRATES

1998 ◽  
Vol 26 (Supplement) ◽  
pp. 61A
Author(s):  
Yizhak Kupfer ◽  
Seyed Alamian ◽  
Oyekunle Muraina ◽  
Sidney Tessler
Keyword(s):  
Pulmonary Artery ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Hemodynamic Management ◽  
Pulmonary Infiltrates ◽  
Pulmonary Artery Catheters

Infection of pulmonary artery catheters in critically ill patients

JAMA ◽  
1981 ◽  
Vol 245 (10) ◽  
pp. 1032-1036 ◽  
Author(s):  
L. Michel
Keyword(s):  
Pulmonary Artery ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Pulmonary Artery Catheters

Early Use of the Pulmonary Artery Catheter and Outcomes in Patients with Shock and Acute Respiratory Distress Syndrome

2018 ◽  
pp. 55-59
Keyword(s):  
Pulmonary Artery ◽  
Pulmonary Artery Catheter ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Control Group ◽  
Pulmonary Artery Catheterization ◽  
Catheter Group ◽  
Improved Outcomes ◽  
Pulmonary Artery Catheters ◽  
And Control

This case focuses on how pulmonary artery catheters are used in critically ill patients by asking the question: Do critically ill patients benefit from early insertion of a pulmonary artery catheter to help guide management? In critically ill patients, pulmonary artery catheterization did not lead to improved outcomes compared with standard care without catheterization. There were no significant differences in mortality between patients in the pulmonary artery catheter group and control group. There were also no significant differences between patients in the pulmonary artery catheter group and patients in the control group with respect to organ system failure or the need for mechanical ventilation, dialysis, or vasoactive medications. This trial, along with other trials of pulmonary artery catheterization, demonstrates the importance of evaluating widely used technologies that have never been adequately assessed.

Do Critically Ill Patients Benefit From Use of Pulmonary Artery Catheters?

JAMA ◽  
2000 ◽  
Vol 284 (10) ◽  
pp. 1242-1242 ◽  
Author(s):  
J. L. Kaufman
Keyword(s):  
Pulmonary Artery ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Pulmonary Artery Catheters

Use of the Pulmonary Artery Catheter in Critically Ill Patients

JAMA ◽  
2000 ◽  
Vol 283 (19) ◽  
pp. 2577 ◽  
Author(s):  
Jesse B. Hall
Keyword(s):  
Pulmonary Artery ◽  
Pulmonary Artery Catheter ◽  
Critically Ill ◽  
Critically Ill Patients

Searching for Evidence to Support Pulmonary Artery Catheter Use in Critically Ill Patients

JAMA ◽  
2005 ◽  
Vol 294 (13) ◽  
pp. 1693 ◽  
Author(s):  
Jesse B. Hall
Keyword(s):  
Pulmonary Artery ◽  
Pulmonary Artery Catheter ◽  
Critically Ill ◽  
Critically Ill Patients

Extravascular lung water measurements and hemodynamic monitoring in the critically ill: bedside alternatives to the pulmonary artery catheter

2006 ◽  
Vol 291 (6) ◽  
pp. L1118-L1131 ◽  
Author(s):  
Warren Isakow ◽  
Daniel P. Schuster
Keyword(s):  
Cardiac Output ◽  
Pulmonary Artery ◽  
Pulmonary Artery Catheter ◽  
Critically Ill ◽  
Extravascular Lung Water ◽  
Ejection Time ◽  
Lung Water ◽  
Descending Aorta ◽  
Hemodynamic Management ◽  
Flow Through

The recently completed Fluid and Catheter Treatment Trial conducted by the National Institutes of Health ARDSNetwork casts doubt on the value of routine pulmonary artery catheterization for hemodynamic management of the critically ill. Several alternatives are available, and, in this review, we evaluate the theoretical, validation, and empirical databases for two of these: transpulmonary thermodilution measurements (yielding estimates of cardiac output, intrathoracic blood volume, and extravascular lung water) that do not require a pulmonary artery catheter, and hemodynamic measurements (including estimates of cardiac output and ejection time, a variable sensitive to intravascular volume) obtained by esophageal Doppler analysis of blood flow through the descending aorta. We conclude that both deserve serious consideration as a means of acquiring useful hemodynamic data for managing shock and fluid resuscitation in the critically ill, especially in those with acute lung injury and pulmonary edema, but that additional study, including carefully performed, prospective clinical trials demonstrating outcome benefit, is needed.

Improved Outcome Based on Fluid Management in Critically Ill Patients Requiring Pulmonary Artery Catheterization

1993 ◽  
Vol XXXVII (3) ◽  
pp. 146 ◽  
Author(s):  
J. P. MITCHELL ◽  
D. SCHULLER ◽  
F. S. CALANDRINO ◽  
D. P. SCHUSTER
Keyword(s):  
Pulmonary Artery ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Fluid Management ◽  
Pulmonary Artery Catheterization ◽  
Improved Outcome
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