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The pulmonary artery catheter: In medio virtus

Vincent, JL and Pinsky, MR and Sprung, CL and Levy, M and Marini, JJ and Payen, D and Rhodes, A and Takala, J (2008) The pulmonary artery catheter: In medio virtus. Critical Care Medicine, 36 (11). 3093 - 3096. ISSN 0090-3493

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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. © 2008 by the Society of Critical Care Medicine and Lippincott Williams & Wilkins.


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Item Type: Article
Status: Published
CreatorsEmailPitt UsernameORCID
Vincent, JL
Pinsky, MRpinsky@pitt.eduPINSKY0000-0001-6166-700X
Sprung, CL
Levy, M
Marini, JJ
Payen, D
Rhodes, A
Takala, J
Date: 1 January 2008
Date Type: Publication
Journal or Publication Title: Critical Care Medicine
Volume: 36
Number: 11
Page Range: 3093 - 3096
DOI or Unique Handle: 10.1097/ccm.0b013e31818c10c7
Schools and Programs: School of Medicine > Critical Care Medicine
Refereed: Yes
ISSN: 0090-3493
PubMed ID: 18824901
Date Deposited: 14 Jul 2012 16:24
Last Modified: 30 Jan 2020 16:56


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