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Lavage-induced Surfactant Depletion in Pigs As a Model of the Acute Respiratory Distress Syndrome ARDS

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The pulmonary artery catheter.

Julian Arias-Ortiz¹, Jean-Louis Vincent²

¹Department of Intensive Care, Calderón Guardia Hospital, Universidad de Costa Rica, San José, Costa Rica.

Current Opinion in Critical Care

|April 20, 2023

Summary

Pulmonary artery catheters (PACs) are less common but still valuable for complex critical care patients, especially after cardiac surgery. Individualized use based on clinical context and potential for guiding therapy is key.

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Area of Science:

Critical Care Medicine
Cardiovascular Physiology
Hemodynamic Monitoring

Background:

Pulmonary artery catheter (PAC) utilization has declined significantly since the mid-1990s.
However, PAC-derived hemodynamic data remain crucial for managing complex critically ill patients.
Recent evidence highlights potential benefits, particularly in post-cardiac surgery populations.

Conclusions:

PAC insertion should be individualized, considering clinical context and staff expertise.
The potential for PAC-derived variables to guide therapy is a primary determinant for its use.
Optimal use of PACs involves personalized application in select critically ill patients.