Pulmonary Artery Catheter Survey

Survey Questions Provided By Dr Paul Marik

The recently published paper by Conners and colleagues (JAMA 1996;276:889) has once again renewed the debate as to the benefit/risks associated with pulmonary artery catheterization. We are conducting a survey to determine the readerships point of view. We urge you to complete the survey. Please provide your Name and e-mail address to validate the data. The names of the respondents will not be published and will remain confidential. Results of the survey will be posted on this web site.

Name:

e-mail:

I Reside in:
USA Canada Europe Mexico, Central and South America Australasia Other

My Job Description:

Type of Hospital:

How would you best describe your ICU?

How many ICU beds do cover when on call?
6 or less 7-10 11-15 16-20 > 20

During an average week (7 days) on call in your ICU how many PAC's do you (your residents) insert?
None 1-5 5-10 10-15 > 15

How often do you use oximetric PAC's?

How often do you use volumetric (RVEF)PAC's?

In what percentage of your patients with PAC's do you estimate that the PAC data alters/influences your management decisions?
< 20% 20 - 40 % 40 - 60 % 60 - 80 % > 80%

Do you aim for "supra-normal" hemodynamic parameters in your patients with sepsis?
Yes No

Do you believe that a PAC should be inserted in all ICU patients receiving vasoactive agents (dobutamine, norepinephrine, dopamine(excluding low dose))?
Yes No

Do you believe that PAC's are harmful?
Yes No Uncertain

Do you believe that the pre-operative insertion of a PAC and the optimization of hemodynamic parameters improves the outcome of high risk surgical patients?
Yes No Uncertain

Do you believe that hemodynamic monitoring with a PAC may improve the outcome of patients with severe sepsis?
Yes No Uncertain

Do you believe that hemodynamic monitoring with a PAC may improve the outcome of patients with complicated acute myocardial infarctions (Killip III/IV)?
Yes No Uncertain

Do you believe that hemodynamic monitoring with a PAC may improve the outcome of patients with subarachnoid hemorrhage complicated by vasospasm?
Yes No Uncertain

Do you believe the study by Conners et al (JAMA 1996;276:889,) to be methodologically sound?
Yes No

Do you believe the results of this study?
Yes No

Do you believe that a moratorium should be placed on the use of the PAC?
Yes No

Would you enroll your patients in a prospective randomized controlled trial to assess the value of the PAC?
Yes No

Thanks for your input.


 

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Copyright 1997, Internet Scientific Publications, LLC and Paul Marik