scholarly journals Extravascular lung water index measurement in critically ill children does not correlate with a chest x-ray score of pulmonary edema

Critical Care ◽  
2010 ◽  
Vol 14 (4) ◽  
pp. 430 ◽  
Author(s):  
Joris Lemson ◽  
Lya E van Die ◽  
Anique EA Hemelaar ◽  
Johannes G van der Hoeven
Keyword(s):  
Pulmonary Edema ◽  
Critically Ill ◽  
Extravascular Lung Water ◽  
Critically Ill Children ◽  
Lung Water ◽  
Extravascular Lung Water Index ◽  
X Ray ◽  
Water Index ◽  
Index Measurement ◽  
Chest X Ray

scholarly journals Extravascular lung water index measurement in critically ill children does not correlate with a chest x-ray score of pulmonary edema

Critical Care ◽  
2010 ◽  
Vol 14 (3) ◽  
pp. R105 ◽  
Author(s):  
Joris Lemson ◽  
Lya E van Die ◽  
Anique EA Hemelaar ◽  
Johannes G van der Hoeven
Keyword(s):  
Pulmonary Edema ◽  
Critically Ill ◽  
Extravascular Lung Water ◽  
Critically Ill Children ◽  
Lung Water ◽  
Extravascular Lung Water Index ◽  
X Ray ◽  
Water Index ◽  
Index Measurement ◽  
Chest X Ray

Prognostic value of extravascular lung water index in critically ill children with acute respiratory failure

2010 ◽  
Vol 37 (1) ◽  
pp. 124-131 ◽  
Author(s):  
Riccardo Lubrano ◽  
Corrado Cecchetti ◽  
Marco Elli ◽  
Caterina Tomasello ◽  
Giuliana Guido ◽  
...  
Keyword(s):  
Respiratory Failure ◽  
Acute Respiratory Failure ◽  
Critically Ill ◽  
Extravascular Lung Water ◽  
Prognostic Value ◽  
Critically Ill Children ◽  
Lung Water ◽  
Extravascular Lung Water Index ◽  
Water Index

scholarly journals B-Lines Scores Derived From Lung Ultrasound Provide Accurate Prediction of Extravascular Lung Water Index: An Observational Study in Critically Ill Patients

2020 ◽  
pp. 088506662096765 ◽  
Author(s):  
Ulrich Mayr ◽  
Marina Lukas ◽  
Livia Habenicht ◽  
Johannes Wiessner ◽  
Markus Heilmaier ◽  
...  
Keyword(s):  
Pulmonary Edema ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Extravascular Lung Water ◽  
Lung Ultrasound ◽  
Lung Water ◽  
Extravascular Lung Water Index ◽  
Water Index ◽  
Non Invasive ◽  
B Lines

Introduction: Visualization of B-lines via lung ultrasound provides a non-invasive estimation of pulmonary hydration. Extravascular lung water index (EVLWI) and pulmonary vascular permeability index (PVPI) assessed by transpulmonary thermodilution (TPTD) represent the most validated parameters of lung water and alveolocapillary permeability, but measurement is invasive and expensive. This study aimed to compare the correlations of B-lines scores from extensive 28-sector and simplified 4-sector chest scan with EVLWI and PVPI derived from TPTD in the setting of intensive care unit (primary endpoint). Methods: We performed scoring of 28-sector and 4-sector B-Lines in 50 critically ill patients. TPTD was carried out with the PiCCO-2-device (Pulsion Medical Systems SE, Maquet Getinge Group). Median time exposure for ultrasound procedure was 12 minutes for 28-sector and 4 minutes for 4-sector scan. Results: Primarily, we found close correlations of 28-sector as well as 4-sector B-Lines scores with EVLWI (R2 = 0.895 vs. R2 = 0.880) and PVPI (R2 = 0.760 vs. R2 = 0.742). Both B-lines scores showed high accuracy to identify patients with specific levels of EVLWI and PVPI. The extensive 28-sector B-lines score revealed a moderate advantage compared to simplified 4-sector scan in detecting a normal EVLWI ≤ 7 (28-sector scan: sensitivity = 81.8%, specificity = 94.9%, AUC = 0.939 versus 4-sector scan: sensitivity = 81.8%, specificity = 82.1%, AUC = 0.902). Both protocols were approximately equivalent in prediction of lung edema with EVLWI ≥ 10 (28-sector scan: sensitivity = 88.9%, specificity = 95.7%, AUC = 0.977 versus 4-sector scan: sensitivity = 81.5%, specificity = 91.3%, AUC = 0.958) or severe pulmonary edema with EVLWI ≥ 15 (28-sector scan: sensitivity = 91.7%, specificity = 97.4%, AUC = 0.995 versus 4-sector scan: sensitivity = 91.7%, specificity = 92.1%, AUC = 0.978). As secondary endpoints, our evaluations resulted in significant associations of 28-sector as well as simplified 4-sector B-Lines score with parameters of respiratory function. Conclusion: Both B-line protocols provide accurate non-invasive evaluation of lung water in critically ill patients. The 28-sector scan offers a marginal advantage in prediction of pulmonary edema, but needs substantially more time than 4-sector scan.

Value of extravascular lung water measurement vs portable chest x-ray in the management of pulmonary edema

1983 ◽  
Vol 11 (7) ◽  
pp. 498-501 ◽  
Author(s):  
EDWARD D. SIVAK ◽  
BRADFORD J. RICHMOND ◽  
PETER B. OʼDONAVAN ◽  
GREGORY P. BORKOWSKI
Keyword(s):  
Pulmonary Edema ◽  
Extravascular Lung Water ◽  
Lung Water ◽  
X Ray ◽  
Portable Chest ◽  
Chest X Ray ◽  
Water Measurement

Real-world extravascular lung water index measurements in critically ill patients

2019 ◽  
Vol 131 (13-14) ◽  
pp. 321-328 ◽  
Author(s):  
Matthias Werner ◽  
Bernhard Wernly ◽  
Michael Lichtenauer ◽  
Marcus Franz ◽  
Bjoern Kabisch ◽  
...  
Keyword(s):  
Critically Ill ◽  
Real World ◽  
Critically Ill Patients ◽  
Extravascular Lung Water ◽  
Lung Water ◽  
Extravascular Lung Water Index ◽  
Water Index

scholarly journals Prognostic value of the extravascular lung water index in critically ill septic shock patients

Critical Care ◽  
2008 ◽  
Vol 12 (Suppl 2) ◽  
pp. P105
Author(s):  
J Mallat ◽  
P Salaun ◽  
D Thevenin ◽  
L Tronchon ◽  
C Patoir ◽  
...  
Keyword(s):  
Septic Shock ◽  
Critically Ill ◽  
Extravascular Lung Water ◽  
Prognostic Value ◽  
Lung Water ◽  
Extravascular Lung Water Index ◽  
Water Index

scholarly journals A multicenter prospective cohort study of volume management after subarachnoid hemorrhage: circulatory characteristics of pulmonary edema after subarachnoid hemorrhage

2016 ◽  
Vol 125 (2) ◽  
pp. 254-263 ◽  
Author(s):  
Yoshiki Obata ◽  
Junichi Takeda ◽  
Yohei Sato ◽  
Hiroyasu Ishikura ◽  
Toru Matsui ◽  
...  
Keyword(s):  
Cohort Study ◽  
Subarachnoid Hemorrhage ◽  
Cardiac Index ◽  
Pulmonary Edema ◽  
Extravascular Lung Water ◽  
Lung Water ◽  
Extravascular Lung Water Index ◽  
Water Index ◽  
Multicenter Prospective Cohort Study ◽  
Multicenter Prospective Cohort

OBJECT Subarachnoid hemorrhage (SAH) is often accompanied by pulmonary complications, which may lead to poor outcomes and death. This study investigated the incidence and cause of pulmonary edema in patients with SAH by using hemodynamic monitoring with PiCCO-plus pulse contour analysis. METHODS A total of 204 patients with SAH were included in a multicenter prospective cohort study to investigate hemodynamic changes after surgical clipping or coil embolization of ruptured cerebral aneurysms by using a PiCCO-plus device. Changes in various hemodynamic parameters after SAH were analyzed statistically. RESULTS Fifty-two patients (25.5%) developed pulmonary edema. Patients with pulmonary edema (PE group) were significantly older than those without pulmonary edema (non-PE group) (p = 0.017). The mean extravascular lung water index was significantly higher in the PE group than in the non-PE group throughout the study period. The pulmonary vascular permeability index (PVPI) was significantly higher in the PE group than in the non-PE group on Day 6 (p = 0.029) and Day 10 (p = 0.011). The cardiac index of the PE group was significantly decreased biphasically on Days 2 and 10 compared with that of the non-PE group. In the early phase (Days 1–5 after SAH), the daily water balance of the PE group was slightly positive. In the delayed phase (Days 6–14 after SAH), the serum C-reactive protein level and the global end-diastolic volume index were significantly higher in the PE group than in the non-PE group, whereas the PVPI tended to be higher in the PE group. CONCLUSIONS Pulmonary edema that occurs in the early and delayed phases after SAH is caused by cardiac failure and inflammatory (i.e., noncardiogenic) conditions, respectively. Measurement of the extravascular lung water index, cardiac index, and PVPI by PiCCO-plus monitoring is useful for identifying pulmonary edema in patients with SAH.

Extravascular lung water index and Halperin score to predict outcome in critically ill patients

2018 ◽  
Vol 130 (17-18) ◽  
pp. 505-510 ◽  
Author(s):  
Bernhard Wernly ◽  
Sebastian Haumann ◽  
Maryna Masyuk ◽  
Johanna Muessig ◽  
Michael Lichtenauer ◽  
...  
Keyword(s):  
Critically Ill ◽  
Critically Ill Patients ◽  
Extravascular Lung Water ◽  
Lung Water ◽  
Extravascular Lung Water Index ◽  
Water Index

scholarly journals Impact of extravascular lung water index on outcomes of severe sepsis patients in a medical intensive care unit

2008 ◽  
Vol 102 (7) ◽  
pp. 956-961 ◽  
Author(s):  
Fu-Tsai Chung ◽  
Shu-Min Lin ◽  
Shinn-Yn Lin ◽  
Horng-Chyuan Lin
Keyword(s):  
Intensive Care Unit ◽  
Severe Sepsis ◽  
Intensive Care ◽  
Extravascular Lung Water ◽  
Medical Intensive Care Unit ◽  
Lung Water ◽  
Extravascular Lung Water Index ◽  
Water Index ◽  
Medical Intensive Care
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