Understanding changes in established practice: pulmonary artery catheter use in critically ill patients.

ABSTRACT:

Objective

Multiple studies suggest that routine use of pulmonary artery catheters is not beneficial in critically ill patients. Little is known about the patterns of "uptake" of practice change that involves removal of a device previously considered standard of care, rather than adoption of a new technique or technology. Our objective was to assess recent pulmonary artery catheter use across ICUs and identify factors associated with high use.

Design

Cohort study.

Setting

U.S. ICUs in Project IMPACT.

Patients

Adult ICU admissions from 2001 to 2008.

Interventions

None.

Measurements and main results

Trends in pulmonary artery catheter use from 2001 to 2008 were assessed. For 2006-2008, we compared pulmonary artery catheter use across ICUs. We assesse

SUBMITTER: Gershengorn HB 

PROVIDER: S-EPMC4047564 | biostudies-literature | 2013 Dec

REPOSITORIES: biostudies-literature