ROLAND B. MCGRATH, M.D.
To the editor: Eugene Robin (1), in his recent perspective, claims that pulmonary artery balloon flotation catheters are used extraordinarily frequently, usually for economic advantage, by physicians who show a cavalier approach in intensive care units by placing catheters routinely without appreciating the risks of catheter use and, therefore, seldom applying any risk-benefit analyses. It is important to respond to those opinions.
I endorse Robin's pleas for the use of catheters to study specific clinical questions and for additional clinical research to identify patients in whom a risk-benefit analysis would favor catheter insertion. Robin cites the experience of Dawkins and
MCGRATH RB. Overuse of Pulmonary Flow Catheters. Ann Intern Med. ;103:954–955. doi: 10.7326/0003-4819-103-6-954
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Published: Ann Intern Med. 1985;103(6_Part_1):954-955.
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