原创力文档the pulmonary artery catheter the tool versus treatments based on the tool肺动脉导管与治疗基于工具的工具.pdfVIP
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the pulmonary artery catheter the tool versus treatments based on the tool肺动脉导管与治疗基于工具的工具
Available online /content/10/4/162
Commentary
The pulmonary artery catheter: the tool versus treatments based
on the tool
Jukka Takala
Clinic of Intensive Care Medicine, University Hospital Bern, CH-3010 Bern, Switzerland
Corresponding author: Jukka Takala, jukka.takala@insel.ch
Published: 31 August 2006 Critical Care 2006, 10:162 (doi:10.1186/cc5021)
This article is online at /content/10/4/162
© 2006 BioMed Central Ltd
Abstract Do we have evidence from randomized controlled trials that
The pulmonary artery catheter (PAC) is a powerful tool that has any monitoring tool, per se, currently used in intensive care
been used extensively in the assessment and monitoring of patients improves outcome? Here the answer is also clearly
cardiovascular physiology. Gross misinterpretation of data no. Such monitoring tools include pulse oximetry, measure-
gathered by the PAC is common, and its routine use without any ment of arterial blood pressure and other intravascular
specific interventions has not been shown to influence outcome. pressures; monitoring of electrocardiogram (ECG), electro-
However, there currently is no evidence from randomized, encephalogram (EEG), and concentrations of inspiratory,
controlled trials that any diagnostic or monitoring tool used in
intensive care patients improves outcome. Studies evaluating the expiratory, and end-tidal gases; intracranial pressure
use of the PAC have included numerous potential confounding monitoring, monitoring
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