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ARTICLE |

Effectiveness of Right Heart Catheterization: Time for a Randomized Trial FREE

John W. Hoyt, MD
JAMA. 1997;277(2):112-112. doi:10.1001/jama.1997.03540260026023
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To the Editor.  —The article by Dr Connors and colleagues1 on RHC raised significant concerns about this diagnostic procedure for the members of the Society of Critical Care Medicine (SCCM). The balloon-tipped, flow-directed PA catheter has been an essential part of the cardiac diagnostic armamentarium since the inception of the SCCM 25 years ago. An important part of fellowship training in critical care is learning how to interpret information from RHC and how to develop the expertise to make therapeutic judgments based on that information.Thus, both the SCCM Council and I reacted strongly to the article and accompanying Editorial by Drs Bone and Dalen.2 We were concerned that the influence of the article and the Editorial might cause physicians to change practice before the findings of this article and others critical of RHC are scientifically clear. Future projects must sort out the risk of the procedure itself vs the risk

REFERENCES

Connors AF Jr, Speroff T, Dawson NV, et al, for the SUPPORT Investigators.  The effectiveness of right heart catherization in the initial care of critically ill patients . JAMA . 1996;;276:889-897.
Dalen JE, Bone RC.  Is it time to pull the pulmonary artery catheter? JAMA . 1996;;276:916-918.

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Connors AF Jr, Speroff T, Dawson NV, et al, for the SUPPORT Investigators.  The effectiveness of right heart catherization in the initial care of critically ill patients . JAMA . 1996;;276:889-897.
Dalen JE, Bone RC.  Is it time to pull the pulmonary artery catheter? JAMA . 1996;;276:916-918.
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To understand the clinical management of acute heart failure syndromes.
Accreditation Information The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
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