title: [Part II: basic hemodynamic monitoring and the use of pulmonary artery catheter].
abstract: OBJECTIVE
  Monitoring of vital functions is one of the most important tools in the management of critically ill patients. Nowadays is possible to detect and analyze a great deal of physiologic data using a lot of invasive and non-invasive methods. The intensivist must be able to select and carry out the most appropriate monitoring technique according to the patient requirements and taking into account the benefit/risk ratio. Despite the fast development of non invasive monitoring techniques, invasive hemodynamic monitoring using Pulmonary Artery Catheter still is one of the basic procedures in Critical Care. The aim was to define recommendations about clinical utility of basic hemodynamic monitoring methods and the Use of Pulmonary Artery Catheter.
  
  
  METHODS
  Modified Delphi methodology was used to create and quantify the consensus between the participants. AMIB indicated a coordinator who invited more six experts in the area of monitoring and hemodynamic support to constitute the Consensus Advisory Board. Twenty-five physicians and nurses selected from different regions of the country completed the expert panel, which reviewed the pertinent bibliography listed at the MEDLINE in the period from 1996 to 2004.
  
  
  RESULTS
  Recommendations were made based on 55 questions about the use of central venous pressure, invasive arterial pressure, pulmonary artery catheter and its indications in different settings.
  
  
  CONCLUSIONS
  Evaluation of central venous pressure and invasive arterial pressure, besides variables obtained by the PAC allow the understanding of cardiovascular physiology that is of great value to the care of critically ill patients. However, the correct use of these tools is fundamental to achieve the benefits due to its use.
authors.affiliation: Associação de Medicina Intensiva Brasileira.
authors.forename: Fernando Suparregui
authors.initials: FS
authors.lastname: Dias
authors.affiliation: Associação de Medicina Intensiva Brasileira.
authors.forename: Ederlon
authors.initials: E
authors.lastname: Rezende
authors.affiliation: Associação de Medicina Intensiva Brasileira.
authors.forename: Ciro Leite
authors.initials: CL
authors.lastname: Mendes
authors.affiliation: Associação de Medicina Intensiva Brasileira.
authors.forename: Alvaro
authors.initials: A
authors.lastname: Réa-Neto
authors.affiliation: Associação de Medicina Intensiva Brasileira.
authors.forename: Cid Marcos
authors.initials: CM
authors.lastname: David
authors.affiliation: Associação de Medicina Intensiva Brasileira.
authors.forename: Guilherme
authors.initials: G
authors.lastname: Schettino
authors.affiliation: Associação de Medicina Intensiva Brasileira.
authors.forename: Suzana Margareth Ajeje
authors.initials: SM
authors.lastname: Lobo
authors.affiliation: Associação de Medicina Intensiva Brasileira.
authors.forename: Alberto
authors.initials: A
authors.lastname: Barros
authors.affiliation: Associação de Medicina Intensiva Brasileira.
authors.forename: Eliézer
authors.initials: E
authors.lastname: Silva
authors.affiliation: Associação de Medicina Intensiva Brasileira.
authors.forename: Gilberto
authors.initials: G
authors.lastname: Friedman
authors.affiliation: Associação de Medicina Intensiva Brasileira.
authors.forename: José Luiz Gomes do
authors.initials: JL
authors.lastname: Amaral
authors.affiliation: Associação de Medicina Intensiva Brasileira.
authors.forename: Marcelo
authors.initials: M
authors.lastname: Park
authors.affiliation: Associação de Medicina Intensiva Brasileira.
authors.forename: Maristela
authors.initials: M
authors.lastname: Monachini
authors.affiliation: Associação de Medicina Intensiva Brasileira.
authors.forename: Mirella Cristine de
authors.initials: MC
authors.lastname: Oliveira
authors.affiliation: Associação de Medicina Intensiva Brasileira.
authors.forename: Murillo Santucci César
authors.initials: MS
authors.lastname: Assunção
authors.affiliation: Associação de Medicina Intensiva Brasileira.
authors.forename: Nelson
authors.initials: N
authors.lastname: Akamine
authors.affiliation: Associação de Medicina Intensiva Brasileira.
authors.forename: Patrícia Veiga C
authors.initials: PV
authors.lastname: Mello
authors.affiliation: Associação de Medicina Intensiva Brasileira.
authors.forename: Renata Andréa Pietro
authors.initials: RA
authors.lastname: Pereira
authors.affiliation: Associação de Medicina Intensiva Brasileira.
authors.forename: Rubens
authors.initials: R
authors.lastname: Costa Filho
authors.affiliation: Associação de Medicina Intensiva Brasileira.
authors.forename: Sebastião
authors.initials: S
authors.lastname: Araújo
authors.affiliation: Associação de Medicina Intensiva Brasileira.
authors.forename: Sérgio
authors.initials: S
authors.lastname: Félix Pinto
authors.affiliation: Associação de Medicina Intensiva Brasileira.
authors.forename: Sérgio
authors.initials: S
authors.lastname: Ferreira
authors.affiliation: Associação de Medicina Intensiva Brasileira.
authors.forename: Simone Mattoso
authors.initials: SM
authors.lastname: Mitushima
authors.affiliation: Associação de Medicina Intensiva Brasileira.
authors.forename: Sydney
authors.initials: S
authors.lastname: Agareno
authors.affiliation: Associação de Medicina Intensiva Brasileira.
authors.forename: Yuzeth Nóbrega de Assis
authors.initials: YN
authors.lastname: Brilhante