Vincent Jean-Louis, Pinsky Michael R, Sprung Charles L, Levy Mitchell, Marini John J, Payen Didier, Rhodes Andrew, Takala Jukka
Department of Intensive Care Medicine, Erasme Hospital, Université Libre de Bruxelles, Belgium.
Crit Care Med. 2008 Nov;36(11):3093-6. doi: 10.1097/CCM.0b013e31818c10c7.
To clarify the role of the pulmonary artery catheter in the intensive care unit.
Recent and relevant literature from MEDLINE and authors' personal databases.
Studies on pulmonary artery catheter use and use of other monitoring devices in critically ill patients.
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.
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.
阐明肺动脉导管在重症监护病房中的作用。
来自MEDLINE的近期相关文献以及作者的个人数据库。
关于在危重症患者中使用肺动脉导管及其他监测设备的研究。
主要基于临床经验以及对相关已发表文献的评估，并针对近期抨击肺动脉导管的文章，我们提出肺动脉导管对于患有复杂疾病过程的患者的血流动力学监测仍是一种有价值的工具，从肺动脉导管获得的信息可能会影响治疗管理。我们建议有必要重新审视血流动力学管理的基础知识，并重新评估使用肺动脉导管的方式，应用三个关键原则：正确测量、正确解读数据以及正确应用。
当用于选定的患者且由经过充分培训以正确解读和应用所提供数据的医生使用时，肺动脉导管仍是血流动力学监测的一种有价值的工具。
