tailieunhanh - Báo cáo y học: "Perioperative optimization and right heart catheterization: what technique in which patient"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về y học đề tài: Perioperative optimization and right heart catheterization: what technique in which patient? | Available online http content 7 3 201 Commentary Perioperative optimization and right heart catheterization what technique in which patient Daniel De Backer1 Jacques Creteur2 and Jean-Louis Vincent3 1Staff Physician Department of Intensive Care Erasme University Hospital University of Brussels Belgium 2Staff Physician Department of Intensive Care Erasme University Hospital University of Brussels Belgium 3Head Department of Intensive Care Erasme University Hospital University of Brussels Belgium Correspondence Daniel De Backer ddebacke@ Published online 14 March 2003 Critical Care 2003 7 201-202 DOI cc2177 This article is online at http content 7 3 201 2003 BioMed Central Ltd Print ISSN 1364-8535 Online ISSN 1466-609X Abstract Recent years have seen the place of the pulmonary artery catheter in intensive care increasingly challenged with one recent study reporting no difference in outcome in patients treated with or without a pulmonary artery catheter. However this study has several methodological flaws and although pulmonary artery catheterization should not be performed routinely on all patients when used correctly by trained personnel in selected patients the pulmonary artery catheter continues to provide valuable information. Keywords methodology outcome pulmonary artery catheter Svo2 More than 20 years ago Shoemaker and coworkers 1 2 observed that perioperative alterations in oxygen transport were closely related to the development of organ failure and death. Subsequently several studies reported that perioperative hemodynamic optimization guided by the pulmonary artery catheter may decrease morbidity and mortality 3-6 . Nevertheless the use of the pulmonary artery catheter has been challenged because of its invasiveness and possibly the unwarranted interventions that may result from its use 7 . In a recent issue of the New England Journal of Medicine Sandham and coworkers 8 reported the results of a multicenter Canadian