Perioperative optimization and right heart catheterization: what technique in which patient?

Daniel De Backer, Jacques Creteur, Jean-Louis Vincent, Daniel De Backer, Jacques Creteur, Jean-Louis Vincent

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.

References

    1. Shoemaker WC, Chang PC, Czer LSC, Bland R, Shabot MM, State D. Cardiorespiratory monitoring in postoperative patients: I. Prediction of outcome and severity of illness. Crit Care Med. 1979;7:237–242.
    1. Shoemaker WC, Appel PL, Kram HB. Tissue oxygen debt as a determinant of lethal and nonlethal postoperative organ failure. Crit Care Med. 1988;16:1117–1120.
    1. Shoemaker WC, Appel PL, Kram HB, Waxman K, Lee T-S. Prospective trial of supranormal values of survivors as therapeutic goals in high-risk surgical patients. Chest. 1988;94:1176–1186.
    1. Boyd O, Grounds M, Bennett ED. A randomized clinical trial of the effect of deliberate perioperative increase of oxygen delivery on mortality in high-risk surgical patients. JAMA. 1993;270:2699–2707. doi: 10.1001/jama.270.22.2699.
    1. Wilson J, Woods I, Fawcett J, Whall R, Dibb W, Morris C, McManus E. Reducing the risk of major elective surgery: randomised controlled trial of preoperative optimisation of oxygen delivery. BMJ. 1999;318:1099–1103.
    1. Lobo SM, Salgado PF, Castillo VG, Borim AA, Polachini CA, Palchetti JC, Brienzi SL, de Oliveira GG. Effects of maximizing oxygen delivery on morbidity and mortality in high-risk surgical patients. Crit Care Med. 2000;28:3396–3404.
    1. Connors AF, Jr, Speroff T, Dawson NV, Thomas C, Harrell FE, Jr, Wagner D, Desbiens N, Goldman L, Wu AW, Califf RM, Fulkerson WJ, Jr, Vidaillet H, Broste S, Bellamy P, Lynn J, Knaus WA. The effectiveness of right heart catheterization in the initial care of critically ill patients. JAMA. 1996;276:889–897. doi: 10.1001/jama.276.11.889.
    1. Sandham JD, Hull RD, Brant RF, Knox L, Pineo GF, Doig CJ, Laporta DP, Viner S, Passerini L, Devitt H, Kirby A, Jacka M, Canadian Critical Care Clinical Trials Group A randomized, controlled trial of the use of pulmonary-artery catheters in high-risk surgical patients. N Engl J Med. 2003;348:5–14. doi: 10.1056/NEJMoa021108.
    1. Vincent JL, De Backer D. Cardiac output measurement: is least invasive always the best? Crit Care Med. 2002;30:2380–2382.
    1. Teboul JL, Graini L, Boujdaria R, Berton C, Richard C. Cardiac index vs oxygen-derived parameters for rational use of dobutamine in patients with congestive heart failure. Chest. 1993;103:81–85.
    1. Jastremski MS, Chelluri L, Beney KM, Bailly RT. Analysis of the effects of continuous on-line monitoring of mixed venous oxygen saturation on patient outcome and cost-effectiveness. Crit Care Med. 1989;17:148–153.
    1. Kyff JV, Vaughn S, Yang SC, Raheja R, Puri VK. Continuous monitoring of mixed venous oxygen saturation in patients with acute myocardial infarction. Chest. 1989;95:607–611.
    1. Prakash O, Meij S, van den Borden B, Saxena PR. Cardiorespiratory monitoring during open heart surgery. Crit Care Med. 1981;9:530–535.
    1. Shenaq SA, Casar G, Chelly JE, Ott H, Crawford ES. Continuous monitoring of mixed venous oxygen saturation during aortic surgery. Chest. 1987;92:796–799.
    1. Shoemaker WC, Appel PL, Kram HB. Hemodynamic and oxygen transport effects of dobutamine in critically ill general surgical patients. Crit Care Med. 1986;14:1032–1037.
    1. Birman H, Haq A, Hew E, Aberman A. Continous monitoring of mixed venous oxygen saturation in hemodynamically unstable patients. Chest. 1984;86:753–756.
    1. Rivers E, Nguyen B, Havstad S, Ressler J, Muzzin A, Knoblich B, Peterson E, Tomlanovich M, Early Goal-Directed Therapy Collaborative Group Early goal-directed therapy in the treatment of severe sepsis and septic shock. N Engl J Med. 2001;345:1368–1377. doi: 10.1056/NEJMoa010307.
    1. Vincent JL, Dhainaut JF, Perret C, Suter P. Is the pulmonary artery catheter misused? A European view. Crit Care Med. 1998;26:1283–1287.
    1. Sinclair S, James S, Singer M. Intraoperative intravascular volume optimisation and length of hospital stay after repair of proximal femoral fracture: randomised controlled trial. BMJ. 1997;315:909–912.

Source: PubMed

3
订阅