Cardiothoracic & vascular anaesthesia

Pulmonary artery catheters or central venous catheters for cardiac surgery: the PUMA Pilot randomised clinical trial

AnaesthesiaPublished Randomised controlled trial

Authors' conclusion

A randomised trial of pulmonary artery catheters compared with central venous catheters in low-risk cardiac surgery is feasible.

Study context

Population
Adults undergoing CABG, aortic valve replacement or aortic root/ascending aorta surgery with predicted surgical mortality < 2%, 3 tertiary cardiac surgery centresrandomised
Participants
149 adults
Comparison
Pulmonary artery catheter vs Central venous catheter
  • Pulmonary artery cathetern = 76
  • Central venous cathetern = 73reference
Primary endpoint
Protocol compliance (receiving the assigned intervention without crossover)
Methodological detailsmulticentre, parallel assignment, open-label, pilot and feasibility
  • Multicentre
  • Parallel assignment
  • Open-label
  • Pilot and feasibility

Primary result

As reported in the abstract

Protocol compliance

Received the allocated intervention

147

99%

Further findings

Days alive and at home · 30 days

Eligibility rate

Eligible of 480 screened
206 (43%)

Recruitment proportion

Approached patients providing informed consent
150/203 (74%)

Clinician refusal

Eligible patients not included due to clinician refusal
Three of 206 (1%)

Data completeness

Patients with complete data
144 (97%)

Safety

AKI

Original publication

Pulmonary artery catheters or central venous catheters for cardiac surgery: the PUMA Pilot randomised clinical trial. Anaesthesia. Published 28 June 2026. doi:10.1111/anae.70282

Composed by AI from the published abstract and checked against it. How Briefs are made →

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