Posts Tagged ‘iabp for cardiogenic shock’

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 .



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.


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