International journal of gynaecology and obstetrics : the official organ of the International Federation of Gynaecology and Obstetrics
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Int J Gynaecol Obstet · Aug 1993
Practice Guideline GuidelineInvasive hemodynamic monitoring in obstetrics and gynecology. ACOG Technical Bulletin Number 175--December 1992.
Indications for invasive hemodynamic monitoring in obstetrics and gynecology are much the same as in any other area of medicine and surgery. The clinical decision of whether to employ monitoring cannot be made according to absolute criteria but must be made on an individual basis. ⋯ Timely adjustment and titration of therapeutic maneuvers and treatments would logically have a significant impact on the outcome of a critical illness or on patients on the verge of cardiac or respiratory decompensation. Nonetheless, a randomized prospective study of the efficacy of the pulmonary artery catheter in obstetrics and gynecology does not currently exist, nor is such a study likely with the already widely accepted use of these technologies.