A randomized, controlled trial of the use of pulmonary-artery catheters in high-risk surgical patients.

By J. D. Sandham, R. Hull, R. Brant, L. Knox, G. Pineo, C. Doig, D. Laporta, S. Viner, L. Passerini, H. Devitt and 2 more. New England Journal of Medicine, 2003

1,426 citations recorded by the source corpus.

Subfields: Epidemiology, Pulmonary and Respiratory Medicine, Surgery

View Paper: https://www.semanticscholar.org/paper/928e7af9fef6c83765eaff5836f82985e29f67c2

How researchers see this paper

The researchers whose trusted networks rank it highest, strongest advocate first. Every researcher gets a different order.

In Epidemiology

1. John A. Kellum
2. N. Anguel
3. C. Richard
4. A. Rhodes
5. J. Teboul
6. R. Bellomo
7. Claudio Ronco
8. P. Marik

In Surgery

1. John A. Kellum
2. N. Anguel
3. C. Richard
4. J. Teboul
5. V. Lawrence
6. G. Smetana
7. R. Bellomo
8. Claudio Ronco

Citations in the corpus

• Practical clinical trials: increasing the value of clinical research for decision making in clinical and health policy. (2003, background): “Large randomized trials have recently shown that the pulmonary artery catheter does not provide clinical benefit compared with standard care in elderly high-risk surgical patients who require intensive care.(55) Most of the therapies in common use for treatment of pressure ulcers and other chronic w”
• Early goal-directed therapy after major surgery reduces complications and duration of hospital stay. A randomised, controlled trial [ISRCTN38797445] (2005, background): “However, a recent multi-centre trial that randomised surgical patients to pulmonary artery catheterisation or conventional management failed to show a difference in outcome [18].”
• Early use of the pulmonary artery catheter and outcomes in patients with shock and acute respiratory distress syndrome: a randomized controlled trial. (2003, background): “In contrast with the recently reported study in high-risk surgical patients, we did not observe a higher incidence of pulmonary embolism in the group assigned to PACs.(11) Thromboembolic complications range from less than 1% to up to 11% of patients with indwelling PACs.”
• Canadian Cardiovascular Society Guidelines on Perioperative Cardiac Risk Assessment and Management for Patients Who Undergo Noncardiac Surgery. (2017, methodology): “85 All studies were included in a meta-analysis of PACM use, along with an additional 5 studies (2384 patients) that enrolled intensive care unit patients or those with acute heart failure.”
• [Executive summary of the guidelines on the diagnosis and treatment of acute heart failure]. (2005, result): “Similar observational findings have subsequently been reported in other groups of patients.(47,61,62) A recent prospective randomized study enrolling a mixed group of critically ill patients failed to demonstrate a difference in outcome, although randomization to the PAC led to increased fluid resus”
• Pulmonary artery occlusion pressure and central venous pressure fail to predict ventricular filling volume, cardiac performance, or the response to volume infusion in normal subjects (2004, background): “In addition, our data may yield some insight as to the underlying reasons for the apparent therapeutic futility of PAC use in critically ill patients (1, 2).”
• Acute renal failure – definition, outcome measures, animal models, fluid therapy and information technology needs: the Second International Consensus Conference of the Acute Dialysis Quality Initiative (ADQI) Group (2004, result): “A much larger study in much less sick, general surgery patients [ 42 ] found no benefit from routine pulmonary artery catheterization.”