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Opinions/Hypotheses |

The Pulmonary Artery Catheter*: Nonexistential Entity or Occasionally Useful Tool?

A. Joseph Layon, MD, FCCP
Author and Funding Information

*From the Departments of Anesthesiology, Surgery, and Medicine, University of Florida College of Medicine, Ganesville, FL.



Chest. 1999;115(3):859-862. doi:10.1378/chest.115.3.859
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Abbreviations: PAC = pulmonary artery catheter

Disclosure: The author of this piece is of the opinion that the pulmonary artery catheter is, for some but not all problems related to cardiopulmonary physiology, of aid in making clinical decisions.

1Connors, AF, Speroff, T, Dawson, NV, et al (1996) The effectiveness of right heart catheterization in the initial care of critically ill patients.JAMA276,889-8972Dalen, JE, Bone, RC Is it time to pull the pulmonary artery catheter?JAMA1996;276,916-9183Pulmonary Artery Catheter Consensus Conference Participants: Pulmonary artery catheter consensus conference: consensus statement. Crit Care Med 1997; 25:910–9254Taylor, RW Controversies in pulmonary artery catheterization.New Horizons1997;5,173-2965Webster’s seventh new collegiate dictionary. Chicago, IL: G & C Merriam & Co, 1969; 291–2926Webster’s seventh new collegiate dictionary. Chicago, IL: G & C Merriam & Co, 1969; 931–9327Dexter, L, Haynes, FW, Burwell, CS, et al Studies of congenital heart disease. I: Technique of venous catheterization as a diagnostic procedure.J Clin Invest1947;26,547-5538Dexter, L, Haynes, FW, Burwell, CS, et al Studies of congenital heart disease. II: The pressure and oxygen content of blood in the right auricle, right ventricle, and pulmonary artery in control patients, with observations on the oxygen saturation and source of pulmonary “capillary” blood.J Clin Invest1947;26,554-5609Swan, HJC, Ganz, W, Forrester, J, et al Catheterization of the heart in man using a flow directed balloon tipped catheter.N Engl J Med1970;283,447-45110Robin, ED The cult of the Swan-Ganz catheter: overuse and abuse of pulmonary flow catheters.Ann Intern Med1985;103,445-44911Robin, ED Death by pulmonary artery flow-directed catheter—time for a moratorium [editorial]?Chest1987;92,727-73112Gore, JM, Goldberg, RJ, Spodick, DH, et al A community-wide assessment of the use of pulmonary artery catheters in patients with acute myocardial infarction.Chest1987;92,721-72713Sibbald, WJ, Sprung, CL The pulmonary artery catheter—the debate continues [editorial].Chest1988;94,899-90114Vincent, J-L, Dhainaut, J-F, Perret, C, et al Is the pulmonary artery catheter misused: a European view.Crit Care Med1998;26,1283-128715Iberti, TJ, Fischer, EP, Leibowitz, AB, et al A multicenter study of physician’s knowledge of the pulmonary artery catheter.JAMA1990;264,2928-293216Gnaegi, A, Feihl, F, Perret, C Insufficient knowledge of intensive care physicians concerning right heart catheterization at the bedside: time to act?Crit Care Med1997;25,213-22017Reynolds, HN, Haupt, MT, Thill-Baharozian, MC, et al Impact of critical care physician staffing on patients with septic shock in a university hospital medical intensive care unit.JAMA1988;260,3446-345018Brown, JJ, Sullivan, G Effect on ICU mortality of a full-time critical care specialist.Chest1989;96,127-12919Knaus, WA, Wagner, DP, Loirat, P, et al A comparison of intensive care in the USA and France.Lancet1982;ii,642-64620Iberti, TJ, Daily, EK, Leibowitz, AB, et al Assessment of critical care nurses’ knowledge of the pulmonary artery catheter.Crit Care Med1994;22,1674-167821Vincent, J-L, Bihari, D, Suter, PM, et al The presence of nosocomial infection in intensive care units in Europe: the results of the EPIC study.JAMA1995;274,639-644

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