Pulmonary artery catheterization in children.

Objective: To review the literature addressing use of the pulmonary artery catheter (PAC) in pediatric patients.

Data source: All pertinent English language articles dealing with the use of pulmonary artery catheterization in pediatric patients were retrieved from 1979 through 1996.

Study selection: Articles were chosen for review if the use of pulmonary artery catheterization in pediatric patients was studied or reviewed.

Data extraction: From the articles selected, information was obtained about changes in diagnosis, therapy and outcome associated with PAC use in pediatric patients.

Data synthesis: The available literature suggests substantial value from the information made available by use of the PAC in a small group of critically ill infants and children.

Conclusion: Until there is substantive evidence in children that outcome is negatively affected by their use, PACs should remain available. Experienced physicians should directly supervise PAC insertion and use.