The pulmonary artery catheter: economic aspects.

Objective: To review the literature addressing economic issues related to use of the pulmonary artery catheter (PAC).

Methods: All pertinent English language articles related to economic analysis of the use of pulmonary artery catheterization were retrieved from 1977 through 1996. Methods: Articles were chosen for review if an economic analysis related to use of the PAC was studied or reviewed. Methods: From the articles selected, information was obtained about economic aspects related to pulmonary artery catheterization.

Results: Inadequate evidence exists to accurately determine if PAC use is truly cost-effective.

Conclusions: Widespread use of the PAC has significant economic ramifications. Data regarding cost-effectiveness of the PAC is extremely limited in terms of methodology and scope. Economic impact and cost-effectiveness are moot prior to establishing clinical efficacy.