This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (22)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Effects on Therapy

Giovanni Celoria, MD; Jay S. Steingrub, MD; Maureen Vickers-Lahti, MBBS; Daniel Teres, MD; Keith L. Stein, MD; Mitchell Fink, MD; Paul Friedmann, MD

Arch Surg. 1990;125(8):1036-1039.

Abstract
• A prospective study of 126 surgical patients from two institutions was undertaken to assess the impact of pulmonary artery catheterization in surgical intensive care units. Before catheterization, surgical residents were asked to predict pulmonary artery wedge pressure, cardiac output, systemic vascular resistance, and plan of therapy. After catheterization, each chart was reviewed by a panel of intensive care specialists and a general surgeon. Correct classification for the hemodynamic variables ranged from 47% to 55%. Catheterization results prompted a major change in therapy in 50% of patients. The data suggest that hemodynamic variables obtained from pulmonary artery catheterization improve the accuracy of bedside evaluation and lead to alteration in therapy, particularly in patients whose pulmonary artery wedge pressure predictions were poor.

(Arch Surg. 1990;125:1036-1039)

Author Affiliations
From the Department of Surgery (Drs Celoria and Friedmann), Critical Care Division (Drs Steingrub and Teres), Baystate Medical Center, Springfield, Mass; University of Massachusetts School of Public Health, Amherst (Ms Vickers-Lahti); and the University of Massachusetts Medical Center, Worcester (Drs Stein and Fink).

Footnotes
Accepted for publication January 5, 1990.

Reprint requests to Critical Care Division, Baystate Medical Center, 759 Chestnut St, Springfield, MA 01199 (Dr Steingrub).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Perioperative Hemodynamic Monitoring with Transesophageal Doppler Technology
Schober et al.
Anesth. Analg. 2009;109:340-353.
ABSTRACT | FULL TEXT  

Clinicians' abilities to estimate cardiac index in ventilated children and infants
Tibby et al.
Arch. Dis. Child. 1997;77:516-518.
ABSTRACT | FULL TEXT  

Can the Clinical Examination Diagnose Left-Sided Heart Failure in Adults?
Badgett et al.
JAMA 1997;277:1712-1719.
ABSTRACT  

Appraising Pulmonary Edema Using Supine Chest Roentgenograms in Ventilated Patients
THOMASON et al.
Am. J. Respir. Crit. Care Med. 1997;157:1600-1608.
ABSTRACT | FULL TEXT  

Pulmonary Artery Catheterization: Can There Be an Integrated Strategy for Guideline Development and Research Promotion?
Naylor et al.
JAMA 1993;269:2407-2411.
ABSTRACT  

Analytic Reviews : Radiological Assessment of Central Vascular Volume Status in an Intensive Care Unit Setting
Celoria et al.
J Intensive Care Med 1990;5:246-249.
ABSTRACT