ArticleAnnals of intensive care2013
Obituary: pulmonary artery catheter 1970 to 2013.
Article in Annals of intensive care, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
51 citing papers in PubMed.
- Pulmonary artery catheters or central venous catheters for cardiac surgery: the PUMA Pilot randomised clinical trial.Anaesthesia · 2026Trial
- Automated echocardiography for measuring and tracking cardiac output after cardiac surgery: a validation study.Journal of clinical monitoring and computing · 2020Trial
- Article
- Closing the Loop on Right Ventricular Mechanics: A Smarter Swan Rises.JACC. Basic to translational science · 2025Article
- Trends in pulmonary artery catheter use for cardiac surgery, 2013-2023: Analysis of Australian medicare data.Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine · 2025Article
- The uses of right heart catheterization in cardio-pulmonary disease: State-of-the-art.American heart journal plus : cardiology research and practice · 2025Review
- Article
- Correlation between the radial artery resistance index and the systemic vascular resistance index: a cross-sectional study.The ultrasound journal · 2024Article
- Perioperative management of the vulnerable and failing right ventricle.Perioperative medicine (London, England) · 2024Review
- Article
- Improved U-Net Model to Estimate Cardiac Output Based on Photoplethysmography and Arterial Pressure Waveform.Sensors (Basel, Switzerland) · 2023Article
- Intracranial Pressure Monitoring in Traumatic Brain Injury-A Tool of the Trade or One That Betrays Us?JAMA network open · 2023Article
- Association of pulmonary artery catheter with in-hospital outcomes after cardiac surgery in the United States: National Inpatient Sample 1999-2019.Scientific reports · 2023Article
- Monitoring Macro- and Microcirculation in the Critically Ill: A Narrative Review.Avicenna journal of medicine · 2023Review
- Reflecting on the advancements of HFrEF therapies over the last two decades and predicting what is yet to come.European heart journal supplements : journal of the European Society of Cardiology · 2022Article
- Pulmonary Artery Catheter Monitoring in Patients with Cardiogenic Shock: Time for a Reappraisal?Cardiac failure review · 2022Review
- Development and Validation of an Arterial Pressure-Based Cardiac Output Algorithm Using a Convolutional Neural Network: Retrospective Study Based on Prospective Registry Data.JMIR medical informatics · 2021Article
- Critical Care Management of Decompensated Right Heart Failure in Pulmonary Arterial Hypertension Patients - An Ongoing Approach.Journal of critical care medicine (Universitatea de Medicina si Farmacie din Targu-Mures) · 2021Article
- A Scalable Approach to Determine Intracardiac Pressure From Mechanical Circulatory Support Device Signals.IEEE transactions on bio-medical engineering · 2021Article
- Current Utility of Sequential Organ Failure Assessment Score: A Literature Review and Future Directions.The open respiratory medicine journal · 2021Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The birth of the intermittent injectate-based conventional pulmonary artery catheter (fondly nicknamed PAC) was proudly announced in the New England Journal of Medicine in 1970 by his parents HJ Swan and William Ganz. PAC grew rapidly, reaching manhood in 1986 where, in the US, he was shown to influence the management of over 40% of all ICU patients. His reputation, however, was tarnished in 1996 when Connors and colleagues suggested that he harmed patients. This was followed by randomized controlled trials demonstrating he was of little use. Furthermore, reports surfaced suggesting that he was unreliable and inaccurate. It also became clear that he was poorly understood and misinterpreted. Pretty soon after that, a posse of rivals (bedside echocardiography, pulse contour technology) moved into the neighborhood and claimed they could assess cardiac output more easily, less invasively and no less reliably. To make matter worse, dynamic assessment of fluid responsiveness (pulse pressure variation, stroke volume variation and leg raising) made a mockery of his 'wedge' pressure. While a handful of die-hard followers continued to promote his mission, the last few years of his existence were spent as a castaway until his death in 2013. His cousin (the continuous cardiac output PAC) continues to eke a living mostly in cardiac surgery patients who need central access anyway. This paper reviews the rise and fall of the conventional PAC.
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.