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Báo cáo khoa học: "Recently published papers: all the usual suspects and carbon dioxide"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Recently published papers: all the usual suspects and carbon dioxide. | Critical Care February 2004 Vol 8 No 1 Ball Commentary Recently published papers all the usual suspects and carbon dioxide Jonathan Ball Lecturer in Intensive Care Medicine Department of Anaesthesia St George s Hospital London UK Correspondence Jonathan Ball jball@sghms.ac.uk Published online 2 January 2004 Critical Care 2004 8 6-7 DOI 10.1186 cc2449 This article is online at http ccforum.com content 8 1 6 2004 BioMed Central Ltd Print ISSN 1364-8535 Online ISSN 1466-609X Introduction Looking back over 2003 two themes have dominated the critical care literature. The year started with severe acute respiratory syndrome and ended with reports of an influenza epidemic. In between the threat of a biological weapon attack escalated then thankfully rescinded. The second theme has been the publication of trials re-investigating areas of ongoing controversy especially in the final 2 months. The pulmonary artery catheter is safe but is it useful Since 1996 when Connors and colleagues published data suggesting right heart catheterisation in critically ill patients was associated with an increase in mortality 1 there has been a heated debate about the dangers and benefits of this monitoring intervention. December saw the publication of two further large-scale multicentre trials into the use of pulmonary artery catheters. An American group published data from 1010 intensive care unit admissions with severe sepsis and performed a complex series of analyses having case-matched a subset from their prospective cohort 2 . They did not detect any significant differences in either inhospital mortality length of stay or cost between patients who had or who had not had a pulmonary artery catheter. In the second French study 676 patients with either shock acute respiratory distress syndrome ARDS or both were randomised to receive or not a pulmonary artery catheter 3 . Again no difference in morbidity or mortality up to 90 days was found. Although fault can be found with the design of .