Volume 11 Supplement 3

Fourth International Symposium on Intensive Care and Emergency Medicine for Latin America

Open Access

Specificity of the pulmonary artery catheter in classifying the type of shock

  • SC Aranha1,
  • MH Fujino1,
  • FM Costa1,
  • CA Horta1,
  • SE Mataloun1 and
  • M Moock1
Critical Care200711(Suppl 3):P14

https://doi.org/10.1186/cc5801

Published: 19 June 2007

Objective

To evaluate the utility of the pulmonary artery catheter (PAC) to classify the type of shock in hemodynamic instability patients with no known reason.

Materials and methods

Nineteen patients from Grajau State Hospital ICU who had shock diagnosis and those who needed a PAC to diagnose were evaluated.

Results

The average age was 49 years and the APACHE II average score was 17. The average catheter length of stay was 3.68 days. The most common reason for inpatient admission was cardiovascular (42.1%), followed by respiratory (26.3%); 52.6% of clinical diagnoses were of distributive shock, only 42.1% were confirmed by catheter. Cardiogenic shock was diagnosed in 42.1% before the catheter, and after the PAC it was 26.3%. Hypovolemic shock had the same rate of 5.2% before and after catheter insertion.

Conclusion

Even with a clinical body being well trained to classify shock and the low number of patients in this study, the PAC is certainly useful to predict the type of shock.

Authors’ Affiliations

(1)
Grajau State Hospital (HEG), UNISA Medical School

References

  1. Yu DT, Platt R, Lanken PN, et al.: Relationship of pulmonary artery catheter use to mortality and resource utilization in patients with severe sepsis. Crit Care Med 2003, 31: 2734-2741. 10.1097/01.CCM.0000098028.68323.64View ArticlePubMedGoogle Scholar
  2. Rapoport J, Teres D, Steingrub J, et al.: Patient characteristics and ICU organizational factors that influence frequency of pulmonary artery catheterization. JAMA 2000, 283: 2559-2567. 10.1001/jama.283.19.2559View ArticlePubMedGoogle Scholar
  3. American Society of Anesthesiologists Task Force on Pulmonary Artery Catheterization: Practice guidelines for pulmonary artery catheterization: an update report by the American Society of Anesthesiologists Task Force on Pulmonary Artery Catheterization. Anesthesiology 2003, 99: 988-1014. 10.1097/00000542-200310000-00036View ArticleGoogle Scholar

Copyright

© BioMed Central Ltd 2007

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