The Pulmonary Artery Catheter A Critical Reappraisal
The Pulmonary Artery Catheter A Critical Reappraisal
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DOI：
10.1016/j.ccl.2013.07.008
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发表时间：
2013-11-01
影响因子：
2.4
通讯作者：
Chatterjee, Kanu
中科院分区：
文献类型：
--
作者：
Gidwani, Umesh K.;Mohanty, Bibhu;Chatterjee, Kanu
自20世纪70年代以来，球囊漂浮肺动脉导管（PACs）已被用于心脏、内科和外科重症监护病房的血流动力学监测。随着新的无创诊断方式的出现，尤其是超声心动图，诊断肺动脉导管的频率已经下降。本文就PACs的发展、不同临床条件下的非随机和随机研究结果、床边血流动力学监测的使用和滥用以及目前肺动脉插管的适应症进行了讨论。
Balloon floatation pulmonary artery catheters (PACs) have been used for hemodynamic monitoring in cardiac, medical, and surgical intensive care units since the 1970s. With the availability of newer noninvasive diagnostic modalities, particularly echocardiography, the frequency of diagnostic pulmonary artery catheterization has declined. In this review, the evolution of PACs, the results of nonrandomized and randomized studies in various clinical conditions, the uses and abuses of bedside hemodynamic monitoring, and current indications for pulmonary artery catheterization are discussed.