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May 17, 2000

Use of the Pulmonary Artery Catheter in Critically Ill Patients: Was Invention the Mother of Necessity?

Author Affiliations

Author Affiliation: Section of Pulmonary and Critical Care Medicine, University of Chicago, Chicago, Ill.

JAMA. 2000;283(19):2577-2578. doi:10.1001/jama.283.19.2577

It has been more than 4 years since Dalen and Bone1 called for either a moratorium on the use of pulmonary artery catheters (PACs) for the management of critically ill patients or randomized clinical trials to demonstrate their benefit. Their recommendation was in response to a retrospective observational analysis by Connors et al2 that reported increased mortality and cost in diverse patient groups monitored with the PAC.