Chest
Clinical DialogueDeath by Pulmonary Artery Flow-Directed Catheter (editorial): Time for a Moratorium?
Section snippets
WHAT SHOULD BE DONE?
The least desirable alternative would be to do nothing. If, indeed, large numbers of patients are being harmed, then we are dealing with an emergency.
What probably will occur is that the controversy concerning the use of the catheter will intensify. This is not an acceptable alternative because if catheter supporters are wrong, this alternative will only serve to perpetuate the use of catheters and harm masses of patients. If critics of the catheter are wrong, then the use of a test which, at
REFERENCES (10)
Physiologic and prognostic implications of invasive monitoring: Undetermined risk/benefit ratios in patients with heart disease
Am J Cardiol
(1980)A critical look at critical care
Crit Care Med
(1983)The cult of the Swan-Ganz catheter: Overuse and abuse of pulmonary flow catheters
Ann Intern Med
(1985)Iatroepidemics: A probe to examine systematic preventable errors in (chest) medicine
Am Rev Respir Dis
(1987)- et al.
An evaluation of outcome from intensive care in major medical centers
Ann Intern Med
(1986)
Cited by (195)
To Swan or Not to Swan: Indications, Alternatives, and Future Directions
2021, Journal of Cardiothoracic and Vascular AnesthesiaPRO: Transesophageal Echocardiography Should Be Routinely Used for All Liver Transplant Surgeries
2017, Journal of Cardiothoracic and Vascular AnesthesiaComplete step section microscopic study of a Swan–Ganz catheter-related pulmonary artery rupture: a frequently lethal complication that to our knowledge has not had a comprehensive microscopic examination: case report and literature review
2017, Cardiovascular PathologyCitation Excerpt :Improvements based on these findings came slowly, and the SGC was nearly banned in the late 1980s. The anti-SGC sentiment was compellingly expressed in E.D. Robin's editorial in 1987 [11], but with additional experience, it became clear that the SGC had strong support because of the many lives saved by its usefulness in management of complex cardiopulmonary situations (see 2009 comprehensive review by K. Chatterjee [2]). This trend has continued, and the current attitude seems to be that the SGPAR incidence now is low enough to tolerate given the positive aspects of SGC usage (personal communication, Alex Duarte, M.D.).
The Pulmonary Artery Catheter. A Critical Reappraisal
2013, Cardiology ClinicsAdjuncts to ventilation Part II: Monitoring, fluid management, bundles, and positioning
2013, Current Problems in Surgery