Pulmonary Artery Catheter Monitoring in Patients with Cardiogenic Shock: Time for a Reappraisal?

Nonetheless, even if there was an initial progressive reduction in PAC use for the HF setting in general hospitals, it was followed by an increasing trend of usage, especially in large academic centres in the United States.[ 25 , 26 ] One potential explanation for this paradox may be a shift in the clinical profile of patients admitted for HF towards more severe stages, leading clinicians to search for more accurate haemodynamic monitoring, in particular when considering advanced HF strategies.[ 27 ] Limitations of Noninvasive or Minimally Invasive Techniques in the Cardiogenic Shock Setting The use of echocardiography in the critical care setting – as opposed to the PAC – has burgeoned over the last decades.

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