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Jesse B. Hall, MD

JAMA. 2005;294:1693-1694.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Five years ago in JAMA,¹ I commended the critical care community for beginning in earnest the arduous process of evaluating the efficacy and effectiveness of pulmonary artery catheterization (PAC) in the treatment of high-risk surgical patients and critically ill patients cared for in the intensive care unit (ICU). I deemed this process arduous because over the years following its introduction in the 1970s, this technology had found widespread application in the ICU and perioperative setting, despite a remarkable lack of high-quality evidence supporting such use. An observational retrospective study published in 1996 suggested PAC use might be associated with adverse outcome.² Thus, the proper study of PAC using prospective randomized study design represented a rigorous and necessary "back pedaling" from practice current at the time, never a simple process. In this issue of JAMA, 2 important articles concerning this evaluation process are published,^3-4 making . . . [Full Text of this Article]

Author Affiliations: Department of Medicine, Anesthesia and Critical Care, Section of Pulmonary and Critical Care Medicine, University of Chicago, Chicago, Ill.

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