Lung ultrasound for monitoring cardiogenic pulmonary edema

2016 ◽  
Vol 12 (7) ◽  
pp. 1011-1017 ◽  
Author(s):  
Francesca Cortellaro ◽  
Elisa Ceriani ◽  
Monica Spinelli ◽  
Carlo Campanella ◽  
Ilaria Bossi ◽  
...  

Author(s):  
Shane D. Murphy ◽  
Jessica L. Ward ◽  
Austin K. Viall ◽  
Melissa A. Tropf ◽  
Rebecca L. Walton ◽  
...  


2014 ◽  
Vol 55 (4) ◽  
pp. 447-452 ◽  
Author(s):  
Nathalie Rademacher ◽  
Romain Pariaut ◽  
Julie Pate ◽  
Carley Saelinger ◽  
Michael T. Kearney ◽  
...  




Animals ◽  
2021 ◽  
Vol 11 (11) ◽  
pp. 3279
Author(s):  
Andrzej Łobaczewski ◽  
Michał Czopowicz ◽  
Agata Moroz ◽  
Marcin Mickiewicz ◽  
Marta Stabińska ◽  
...  

Transthoracic heart and lung ultrasound (LUS) was performed in 200 dogs and cats with dyspnea to evaluate the agreement between the results obtained using three types of transducers (microconvex, linear, and phased array) and to determine the accuracy of LUS in discriminating between three conditions commonly causing dyspnea in companion animals: cardiogenic pulmonary edema (CPE), pneumonia, and lung neoplasm. The agreement beyond chance was assessed using the weighted Cohen’s kappa coefficient (κw). The highest values of κw (>0.9) were observed for the pair of microconvex and linear transducers. To quantify B-lines the lung ultrasound score (LUSscore) was developed as a sum of points describing the occurrence of B-lines for each of 8 standardized thoracic locations. The accuracy of LUSscore was determined using the area under ROC curve (AUROC). In dogs AUROC of LUSscore was 75.9% (CI 95%: 65.0% to 86.8%) for distinguishing between lung neoplasms and the two other causes of dyspnea. In cats AUROC of LUSscore was 83.6% (CI 95%: 75.2% to 92.0%) for distinguishing between CPE and the two other causes of dyspnea. The study shows that results obtained with microconvex and linear transducers are highly consistent and these two transducers can be used interchangeably. Moreover, the LUSscore may help identify dogs with lung neoplasms and cats with CPE, however its diagnostic accuracy is only fair to moderate.



Circulation ◽  
1996 ◽  
Vol 94 (6) ◽  
pp. 1316-1324 ◽  
Author(s):  
Djillali Annane ◽  
Eric Bellissant ◽  
Eric Pussard ◽  
Roland Asmar ◽  
Florence Lacombe ◽  
...  


2021 ◽  
Vol 39 ◽  
pp. 256.e5-256.e8
Author(s):  
Rachel E. Bridwell ◽  
Neil P. Larson ◽  
Jennifer B. Rosenthal ◽  
Jesse Wray ◽  
Zachary Baker ◽  
...  


2021 ◽  
Vol 22 (Supplement_1) ◽  
Author(s):  
D Pedicino ◽  
A Angelini ◽  
G Russo ◽  
A D"aiello ◽  
E Rocco ◽  
...  

Abstract Funding Acknowledgements Type of funding sources: None. Background High-flow nasal cannulae oxygen therapy (HFNCOT) represents a better tolerated alternative to non-invasive pressure support ventilation (NIPSV) for acute cardiogenic pulmonary edema (ACPE) treatment. However, there are still few data on the effect of HFNCOT on cardiac function and hemodynamic. Purpose To assess and compare the effects of NIPSV and HFNCOT in ACPE setting on right ventricular (RV) systolic function and on indices of cardiac filling and output, as measured by echocardiography.  Methods  This is a cross-over controlled study, enrolling 15 consecutive patients admitted to our Cardiovascular Intensive Care Unit for ACPE and hypoxaemic, normo/hypocapnic acute respiratory failure, with P/F ratio < 200. Each patient received NIPSV, followed by HFNCOT. Full echocardiographic assessment and blood gas analysis (BGA) were performed 40 minutes from onset of each ventilation modality, respectively before NIPSV to HFNCOT switch and before HFNCOT interruption. In particular, RV function parameters, together with RV and atrial strain, were prospectively collected. Results  In spite of not significant changes in BGA, RV function was significantly improved under HFNCOT, as compared to NIPSV, as assessed by the following parameters: tricuspid annular plane excursion (TAPSE) (P = 0.001), RV S’ wave (P = 0.007), RV fractional area change (RVFAC) (P = 0.006). Strain analysis confirmed the significant improvement in RV function, with free wall global longitudinal strain (GLS) and free wall and septum GLS significantly higher under HFNCOT, as compared to NIPSV (-21% vs -18% P < 0.001, and -15% vs -19% P = 0.008, respectively,), and a significant increase in right atrial positive longitudinal strain (P < 0.001).  Conclusions NIPSV significantly affect RV function making more complex the management of patients presenting with ACPE. In this setting, HFNCOT represents a valuable alternative, providing similar respiratory outcomes while preserving good right ventricle performance.



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