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Cited by 93Hemodynamic Monitoring and TherapyCardiac and Coronary Surgery TechniquesHealthcare Technology and Patient Monitoring

Current use of the pulmonary artery catheter in cardiac surgery: a survey study

Open access
Judge, Onkar, Ji, Fuhai, Fleming, Neal, Liu, Hong·2015·Journal of Cardiothoracic and Vascular Anesthesia
DOI 10.1053/j.jvca.2014.07.016
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Abstract

Objective Because of its invasive nature, debated effect on patient outcome, and the development of alternative hemodynamic monitoring technologies, the intraoperative use of the pulmonary artery catheter (PAC) has significantly decreased. The authors conducted a survey of the members of the Society of Cardiovascular Anesthesiologists (SCA) to assess current use of the PAC and alternative hemodynamic monitoring technologies in patients undergoing cardiac surgery.Design A survey study.Setting Hospitals in North America, Europe, Asia, Australia, New Zealand, and South America.Participants SCA members in North America, Europe, Asia, Australia, New Zealand, and South America.Interventions The survey was e-mailed by the SCA to roughly 6,000 of its members.Measurements and main results The survey was left open for 30 days. Respondents accessed the survey via a secured web-based database. A total of 854 questionnaires were completed. A total of 705 (82.6%) were from North American members. Four hundred twelve of the respondents (48.1%) worked in a private practice setting, while 350 (40.9%) were from an academic practice. A majority of the respondents (57.9%) were from hospitals that performed more than 400 cardiac surgeries a year, a subset of which (29.6%) did more than 800 cases annually. For cases using cardiopulmonary bypass, 583 (68.2%) of the respondents used a PAC more than 75% of the time, while 30 (3.5%) did not use the PAC at all. Ninety-four percent of respondents used transesophageal echocardiography (TEE) as part of the intraoperative monitoring. When not using a PAC, FloTrac/Vigileo was the alternative cardiac monitoring modality in 15.2% of the responses. Similar trends in monitor preferences were seen in off-pump coronary artery bypass grafting and minimally invasive/robotic heart surgery.Conclusions The results of this study suggested that a majority of the respondents still prefer to use the PAC for most cardiac surgeries. Subgroup analysis of the data revealed that geographical location, type of practice, and surgeon support played a significant role in the decision to use a PAC. Although most respondents prefer to use TEE as a complimentary tool, TEE also remains the most popular supplemental/alternative hemodynamic monitoring technology.

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  • A Pulmonary Artery Catheter gives an inherent risk of mechanical, thrombotic, and infectious complications and is therefore only used in complex cardiac cases.

    “A Pulmonary Artery Catheter gives an inherent risk of mechanical, thrombotic, and infectious complications (93, 94) and is therefore only used in complex cardiac cases.”

    From Definitions of low cardiac output syndrome after cardiac surgery and their effect on the incidence of intraoperative LCOS: A literature review and cohort study (2022) · cites this paper as [94]

    The introduction (A Survey Study > Abstract; page not given) links PAC use to its invasive nature and associated complications, but does not identify them as mechanical, thrombotic, and infectious. The conclusion (A Survey Study > PAC IN CARDIAC SURGERY; page not given) says most surveyed cardiac anesthesiologists placed a PAC for most cardiac surgeries, contrary to the claim that it is used only in complex cases. (LLM, conf=0.88)

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Authors
Judge, O., Ji, F., Fleming, N., & Liu, H.
Affiliations
  • University of California, Davis (US)
  • First Affiliated Hospital of Soochow University (CN)
Corresponding author
Liu, Hong
ORCID
Venue
Journal of Cardiothoracic and Vascular Anesthesia
Publisher
Elsevier BV
Published
2015-02
Volume
29
Issue
1
Pages
69-75
ISSN
1053-0770 (ISSN-L)
DOI
10.1053/j.jvca.2014.07.016
OpenAlex
W2091414272
Cited by
93
References
38
Citations by year
2026: 3 · 2025: 8 · 2024: 10 · 2023: 7 · 2022: 10 · 2021: 13 · 2020: 11 · 2019: 5 · 2018: 11 · 2017: 5 · 2016: 6 · 2015: 4
FWCI
4.95
Type
journal article
Language
en
Open access
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Journal of Cardiothoracic and Vascular Anesthesia (publishedVersion)
  • PubMed (publishedVersion)
  • eScholarship (California Digital Library) (submittedVersion)
Funders
Government of Jiangsu Province
Topics
  • Health Sciences › Medicine › Surgery › Hemodynamic Monitoring and Therapy
  • Health Sciences › Medicine › Surgery › Cardiac and Coronary Surgery Techniques
  • Health Sciences › Medicine › Surgery › Healthcare Technology and Patient Monitoring
Keywords
pulmonary artery catheter, cardiac surgery, hemodynamic monitoring, transesophageal echocardiography, FloTrac/Vigileo, cardiopulmonary bypass, off-pump coronary artery bypass, academic vs private practice
MeSH terms
Catheterization, Swan-Ganz, Data Collection, Cardiac Surgical Procedures, Humans, Pulmonary Artery, Ultrasonography

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