Urban United States

  • Don Chalfin


On transfer of Patient A to the intensive care unit (ICU), or perhaps on initial evaluation by the critical care physician, the firs task would be to stabilize the patient and focus on his many concurrent multisystem life-threatening processes. In view of his cardiac events and low perfusional state, the first priority concerns his cardiogenic shock, because his hemodynamic insufficiency requires immediate stabilization with aggressive fluid infusions along with vasopressors and other related therapies. An indwelling arterial catheter should be inserted, and strong consideration would be also be given to the expeditious placement of a pulmonary artery catheter for diagnostic purposes and assessment of therapeutic efficacy, in view of his myocardial damage and tenuous cardiac status, low urine output, increased heart rate, and increased blood urea nitrogen and creatinine levels.


Critical Care Pulmonary Artery Catheter Medical Necessity Critical Care Physician Critical Care Service 
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© Springer Science+Business Media New York 2002

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  • Don Chalfin

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