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Con: It is Not Necessary to Use a Pulmonary Artery Catheter in Cardiac Surgery

  • Sinead M Nyhan
    Correspondence
    Address correspondence to Sinead M Nyhan, MD, Johns Hopkins University School of Medicine, Baltimore, MD, Department of Anesthesiology and Critical Care Medicine, Division of Adult Cardiothoracic Anesthesia, Division of Adult Critical Care Medicine, 1800 Orleans Street, Zayed 6208N, Baltimore MD 21287
    Affiliations
    Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD
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  • Jochen Steppan
    Affiliations
    Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD
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Published:September 29, 2022DOI:https://doi.org/10.1053/j.jvca.2022.09.096
      THE PULMONARY ARTERY CATHETER (PAC) was first described in 1970 for right-heart catheterization. Its use has since expanded beyond the cardiac catheterization laboratory to include patients in intensive care units (ICU) and noncardiac operating rooms.
      • Swan HJC
      • Ganz W
      • Forrester J
      • et al.
      Catheterization of the heart in man with use of a flow-directed balloon-tipped catheter.
      Its use as a monitor is intuitively attractive because it provides detailed physiologic data to which therapies can be titrated. It offers information on both measured (central venous pressure, pulmonary artery and pulmonary capillary wedge pressures, cardiac output, mixed venous oxygen saturation) and calculated (indices of systemic and pulmonary vascular resistance) hemodynamic parameters.
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