Transpulmonary Thermodilution

2013 ◽  
pp. 73-78
Author(s):  
Olfa Hamzaoui ◽  
Xavier Monnet ◽  
Jean-Louis Teboul
Keyword(s):  
Transpulmonary Thermodilution

scholarly journals COVID-19 ARDS is characterized by higher extravascular lung water than non-COVID-19 ARDS: the PiCCOVID study

Critical Care ◽  
2021 ◽  
Vol 25 (1) ◽  
Author(s):  
Rui Shi ◽  
Christopher Lai ◽  
Jean-Louis Teboul ◽  
Martin Dres ◽  
Francesca Moretto ◽  
...  
Keyword(s):  
Extravascular Lung Water ◽  
Transpulmonary Thermodilution ◽  
Diffuse Alveolar Damage ◽  
Lung Mechanics ◽  
Arterial Oxygen ◽  
Prone Positioning ◽  
University Hospitals ◽  
Lung Water ◽  
Pulmonary Vascular Permeability ◽  
Water Index

Abstract Background In acute respiratory distress syndrome (ARDS), extravascular lung water index (EVLWi) and pulmonary vascular permeability index (PVPI) measured by transpulmonary thermodilution reflect the degree of lung injury. Whether EVLWi and PVPI are different between non-COVID-19 ARDS and the ARDS due to COVID-19 has never been reported. We aimed at comparing EVLWi, PVPI, respiratory mechanics and hemodynamics in patients with COVID-19 ARDS vs. ARDS of other origin. Methods Between March and October 2020, in an observational study conducted in intensive care units from three university hospitals, 60 patients with COVID-19-related ARDS monitored by transpulmonary thermodilution were compared to the 60 consecutive non-COVID-19 ARDS admitted immediately before the COVID-19 outbreak between December 2018 and February 2020. Results Driving pressure was similar between patients with COVID-19 and non-COVID-19 ARDS, at baseline as well as during the study period. Compared to patients without COVID-19, those with COVID-19 exhibited higher EVLWi, both at the baseline (17 (14–21) vs. 15 (11–19) mL/kg, respectively, p = 0.03) and at the time of its maximal value (24 (18–27) vs. 21 (15–24) mL/kg, respectively, p = 0.01). Similar results were observed for PVPI. In COVID-19 patients, the worst ratio between arterial oxygen partial pressure over oxygen inspired fraction was lower (81 (70–109) vs. 100 (80–124) mmHg, respectively, p = 0.02) and prone positioning and extracorporeal membrane oxygenation (ECMO) were more frequently used than in patients without COVID-19. COVID-19 patients had lower maximal lactate level and maximal norepinephrine dose than patients without COVID-19. Day-60 mortality was similar between groups (57% vs. 65%, respectively, p = 0.45). The maximal value of EVLWi and PVPI remained independently associated with outcome in the whole cohort. Conclusion Compared to ARDS patients without COVID-19, patients with COVID-19 had similar lung mechanics, but higher EVLWi and PVPI values from the beginning of the disease. This was associated with worse oxygenation and with more requirement of prone positioning and ECMO. This is compatible with the specific lung inflammation and severe diffuse alveolar damage related to COVID-19. By contrast, patients with COVID-19 had fewer hemodynamic derangement. Eventually, mortality was similar between groups. Trial registration number and date of registration ClinicalTrials.gov (NCT04337983). Registered 30 March 2020—Retrospectively registered, https://clinicaltrials.gov/ct2/show/NCT04337983.

Cross-talk phenomenon during femoral transpulmonary thermodilution in a critically ill patient

2016 ◽  
Vol 35 (1) ◽  
pp. 69-70
Author(s):  
Sabri Soussi ◽  
Axelle Ferry ◽  
Mehdi Bahaji ◽  
Christian De Tymowski ◽  
Matthieu Legrand
Keyword(s):  
Critically Ill ◽  
Cross Talk ◽  
Transpulmonary Thermodilution ◽  
Critically Ill Patient

scholarly journals What happens after pneumonectomy? A prospective study using the transpulmonary thermodilution method

2008 ◽  
Vol 135 (1) ◽  
pp. 210-211 ◽  
Author(s):  
Francesco Leo ◽  
Marco Tullii ◽  
Laura Della Grazia ◽  
Anna Attanasio ◽  
Antonella Tosoni ◽  
...  
Keyword(s):  
Prospective Study ◽  
Transpulmonary Thermodilution ◽  
Thermodilution Method ◽  
A Prospective Study

Interpretation of Transpulmonary Thermodilution Curves

CHEST Journal ◽  
2005 ◽  
Vol 127 (4) ◽  
pp. 1459-1460
Author(s):  
Randolph P Cole
Keyword(s):  
Transpulmonary Thermodilution

scholarly journals Comparing transpulmonary thermodilution monitoring to lung ultrasound during pneumonia: an observational study

2015 ◽  
Author(s):  
Konrad Leszek Mendrala ◽  
Dariusz Gajniak ◽  
Tomasz Cyzowski ◽  
Tomasz Czober ◽  
Danuta Gierek ◽  
...  
Keyword(s):  
Observational Study ◽  
Transpulmonary Thermodilution ◽  
Lung Ultrasound
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