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Posts Tagged ‘esc munich 2012’

The last rites for routine   Swan Ganz catheterisation ( In STEMI ) was  performed  by a  land mark JAMA article  in 1996 .

Now . . .  is the turn for intra aortic balloon counter pulsation (IABP) .

A conceptually attractive concept  was laid to rest in Munich ,West Germany , this week at annual  European society of cardiology ,  Scientific Sessions  .August 2012 .

What a crash for a great  hemo-dynamic  principle    in acute MI which ruled the roost for over three  decades !
Just Imagine ,   how many man hours , millions of  worth of consumables  wasted  . . .  better  not to talk about  associated   aortic injuries .

This is what we call   premature evidence based harm”

I  wonder  . . .  whether  I am  justified in making this extreme comment .

Please read for yourself  , this early online release alert  from  NEJM .

http://www.nejm.org/doi/pdf/10.1056/NEJMoa1208410

Reference

Connors A, Speroff T, Dawson N, Thomas C, Harrell FE Jr, Wagner D, etal. The effectiveness of right heart catheterization in the initial care of critically ill patients. JAMA 1996;276:  889-97.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2352214/pdf/bmj00561-0005.pdf

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