Abstract
Pulmonary artery catheter (Swan–Ganz catheter) was discovered in 1967 and soon became one of the most used devices of hemodynamic monitoring, both in intensive care units and operating rooms. Opinions regarding the effectiveness of the Swan–Ganz catheter were uncertain. Some believed that its use significantly improves patient outcomes, others, on the contrary, associated its use with significant risks and increased mortality. Over the past decades, numerous randomized clinical trials have been conducted to study the benefits and harm of the Swan–Ganz catheter, as well as new and less invasive monitoring techniques have appeared, which has significantly reduced the frequency of its use. However, despite the various attitudes and the appearance of innovative monitoring systems, it has been and still is the “gold” standard of hemodynamic assessment. After more than 50 years, there is still no consensus on the effectiveness and benefits of the Swan–Ganz catheter.
This article presents the history and international experience of the use of Swan–Ganz catheter in chronological order, as well as current aspects regarding the effectiveness of its use.
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About the authors
- Maksim B. Shainyan, Anesthesiologist-Resuscitator; ORCID
- Kakhaber E. Diasamidze, Dr. Med. Sci., Leading Reseacher; ORCID
- Margarita F. Abadzhyan, Anesthesiologist-Resuscitator; ORCID
