Lung Water Measurement for Control of Therapeutic Interventions in Critically Ill Patients

1990 ◽  
pp. 143-149
Author(s):  
A. N. Laggner ◽  
K. Lenz
Keyword(s):  
Critically Ill ◽  
Critically Ill Patients ◽  
Therapeutic Interventions ◽  
Lung Water ◽  
Water Measurement

scholarly journals Extravascular lung water measurement in critically ill patients

2018 ◽  
Vol 2 (4) ◽  
pp. 237
Author(s):  
SeyedMohammadreza Hashemian ◽  
ParisaMoll Khosravi ◽  
Daniel Reuter ◽  
Negin Kassiri
Keyword(s):  
Critically Ill ◽  
Critically Ill Patients ◽  
Extravascular Lung Water ◽  
Lung Water ◽  
Water Measurement

scholarly journals Association of Serum Calprotectin Concentrations with Mortality in Critically Ill and Septic Patients

Diagnostics ◽  
2020 ◽  
Vol 10 (11) ◽  
pp. 990
Author(s):  
Theresa H. Wirtz ◽  
Lukas Buendgens ◽  
Ralf Weiskirchen ◽  
Sven H. Loosen ◽  
Nina Haehnsen ◽  
...  
Keyword(s):  
Overall Survival ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
University Hospital ◽  
Therapeutic Interventions ◽  
Neutrophil Granulocytes ◽  
Icu Patients ◽  
Long Term Outcome ◽  
Icu Admission

Background: Calprotectin is present in the cytosol of neutrophil granulocytes and released upon activation. Fecal calprotectin is applied in the clinical management of inflammatory bowel disease whereas serum calprotectin has been discussed as a biomarker in inflammatory disorders. However, its long-term prognostic relevance in critical illness remains unclear. Our aim was to investigate serum calprotectin concentrations as a prognostic biomarker in critically ill and septic patients. Methods: Serum calprotectin concentrations were analyzed in 165 critically ill patients (108 with sepsis, 57 without sepsis) included in our observational study. Patients were enrolled upon admission to the medical intensive care unit (ICU) of the RWTH Aachen University Hospital. Calprotectin concentrations were compared to 24 healthy controls and correlated with clinical parameters, therapeutic interventions, and survival. Results: Serum calprotectin concentrations were significantly increased in ICU patients as well as in septic patients compared to respective controls (p < 0.001 for ICU patients and p = 0.001 for septic patients). Lower calprotectin concentrations were measured in patients with comorbidities i.e., coronary artery disease. Calprotectin concentrations strongly correlated with the C-reactive protein (p < 0.001) and were closely associated to parameters of mechanical ventilation (i.a. inspiratory oxygen fraction, FiO2; p < 0.001). The overall survival was significantly impaired in septic patients with high baseline calprotectin concentrations (p = 0.036). However, patients with increasing calprotectin serum concentrations within the first week of ICU admission showed an improved overall survival (p = 0.009). Conclusions: In summary, serum calprotectin concentrations are significantly increased in critically ill patients with sepsis. High calprotectin concentrations at ICU admission predict long-term mortality risk, whereas increasing calprotectin concentrations are associated with a favorable long-term outcome.

LUNG WATER DETERMINATION IN CRITICALLY ILL PATIENTS

1980 ◽  
Vol 53 (3 Suppl) ◽  
pp. S175-S175
Author(s):  
F. Mihm ◽  
T. W. Feeley ◽  
G. M. Saul
Keyword(s):  
Critically Ill ◽  
Critically Ill Patients ◽  
Lung Water ◽  
Water Determination

scholarly journals Fluid management in critically ill patients: the role of extravascular lung water, abdominal hypertension, capillary leak, and fluid balance

2012 ◽  
Vol 2 (Suppl 1) ◽  
pp. S1 ◽  
Author(s):  
Colin Cordemans ◽  
Inneke De laet ◽  
Niels Van Regenmortel ◽  
Karen Schoonheydt ◽  
Hilde Dits ◽  
...  
Keyword(s):  
Critically Ill ◽  
Fluid Balance ◽  
Critically Ill Patients ◽  
Extravascular Lung Water ◽  
Fluid Management ◽  
Capillary Leak ◽  
Lung Water ◽  
Abdominal Hypertension

Gender-related differences in intensive care: A multiple-center cohort study of therapeutic interventions and outcome in critically ill patients*

2003 ◽  
Vol 31 (7) ◽  
pp. 1901-1907 ◽  
Author(s):  
Andreas Valentin ◽  
Barbara Jordan ◽  
Thomas Lang ◽  
Michael Hiesmayr ◽  
Philipp G. H. Metnitz
Keyword(s):  
Cohort Study ◽  
Intensive Care ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Therapeutic Interventions

scholarly journals Comparison of Pocket Pulse Oximeter and Standard Pulse Oximeter With ABG Analysis in Critically Ill Patients

2021 ◽  
Author(s):  
Jeswanth Reddy N. ◽  
Kiran H. S. ◽  
B. J. Subhash Chandra ◽  
Basavana Gowdappa H.
Keyword(s):  
Critically Ill ◽  
Critically Ill Patients ◽  
Pulse Oximeter ◽  
Therapeutic Interventions ◽  
Monitoring Device ◽  
Pearson’S Correlation ◽  
Arterial Blood ◽  
Standard Pulse ◽  
Pearson's Correlation ◽  
At Home

Background: Pulse oximetry (SpO2) is a standard monitoring device in patients presenting to EMDs and intensive care units (ICUs). Pocket pulse oximeters (PPOs) are used widely in wards, EMDs, and small hospitals/clinics. These inexpensive PPOs also guide therapeutic interventions. Few studies have evaluated the accuracy of SpO2 in patients presenting to critical care areas vis-à-vis devices like PPO and standard pulse oximeter (SPO). This study becomes extremely relevant in view of the ongoing crisis of the COVID-19 pandemic wherein SpO2 monitoring is very important in hospitals, quarantine centers, small clinics, or even at home.  Methods: Patients presenting to critical areas who underwent arterial blood gases (ABG) analysis on the recommendation of the treating physician between November 2016 and October 2018 were included in this study. Along with the ABG analysis, a simultaneous assessment of SpO2 was done with a single PPO and SPO and all values were noted. Statistical analysis was done using the SPSS v.21.0 for Windows.  Results: The study included 300 patients. We compared the O2 saturations of ABG, SPO, and PPO with respect to sex, different age groups, and at different levels of ABG pCO2, HCO3, and pH in all patients. All parameters were compared using the Pearson’s correlation test; the results showed that ABG O2 saturations were closer to the SPO than the PPO but the differences were not statistically significant as the Pearson’s correlation values for all parameters were >0.8. We also compared the parameters by Bland Altman Plot and all observations were outside 95% CI (confidence interval), which means that there was a good agreement between O2 saturations by all three methods, that is, ABG, SPO, and PPO; however, ABG O2 saturations were closer to SPO than PPO but this difference was not statistically significant. Hence, we conclude that the PPO is a useful tool for reliable monitoring of O2 saturations.  Conclusion: This study highlights that inexpensive and noninvasive PPO can be used as a standard monitoring device with reliability in critically ill patients presenting to EMDs, ICUs, and small hospitals/clinics, quarantine centers, and even at home.

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