Есть такое дело. Сейчас показания к установке катетера Swan-Ganz несколько сузились по сравнению с тем что было на заре авиации. Ряд недавних исследований не смогли показать улучшение исхода при рутинном использовании катетера при ряде критических состояний. Цитирую из Surviving Sepsis Campaign: International guidelines for management of severe sepsis and septic shock: 2008
Цитата:
We recommend against the routine use of the pulmonary artery catheter for patients with ALI/ARDS (grade 1A).
Rationale. While insertion of a pulmonary artery catheter may provide useful information on a patient’s volume status and cardiac function, potential benefits of such information may be confounded by differences in interpretation of results (170 –172), lack of correlation of pulmonary artery occlusion pressures with clinical response (173), and absence of a proven strategy to use catheter results to improve patient outcomes (174). Two Multicenter randomized trials, one in patients with shock or acute lung injury (175) and one in patients with acute lung injury (176), failed to show benefit with the routine use of pulmonary artery catheters in patients with acute lung injury.
In addition, other studies in different types of critically ill patients have failed to show definitive benefit with routine use of the pulmonary artery catheter (177–179). Well-selected patients remain appropriate candidates for pulmonary artery catheter insertion when the answers to important management decisions depend on information only obtainable from direct measurements made within the pulmonary artery.
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тем не менее ..
Цитата:
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Use of a fluid-conservative strategy directed at minimizing fluid infusion and weight gain in patients with acute lung injury based on either a central venous catheter or a pulmonary artery catheter along with clinical variables to guide treatment strategies led to fewer days of mechanical ventilation and reduced length of ICU stay without altering the incidence of renal failure or mortality rates (185).
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