Intravascular volume monitoring and extravascular lung water in septic patients with pulmonary edema

Abstract

Volume variables (TEDVI, ITBVI) are more useful indicators than pressure variables (CVP, PAOP) for assessment of EVLWI in septic patients with pulmonary edema.

Extravascular lung water after pneumonectomy and one-lung ventilation in sheep

“…Clinical signs of postpneumonectomy pulmonary edema are nonspecific and include dyspnea, hypoxemia, and reduced lung compliance that is usually delayed by 6 hrs to 3 days after surgery (33,34). Radiographic changes generally lag behind the onset of physical symptoms and may be concealed by lung hyperinflation (4,5).…”

Extravascular Lung Water Measured Using Single Transpulmonary Thermodilution Reflects Perioperative Pulmonary Edema Induced by Esophagectomy

“…Over time, however, the double indicator technique has been replaced by the transpulmonary single thermal indicator technique, because the latter is relatively noninvasive and easy to perform and has proved to be an accurate means of quantifying extravascular lung water as an index of lung water [14,15] . Moreover, its accuracy is comparable to that of the pulmonary artery thermodilution technique for measuring cardiac output and assessing volume preload parameters in patients with sepsis, acute lung injury, burn shock, coronary artery bypass graft, and liver transplantation, among others [16][17][18][19][20][21][22] .…”

Fluid responsiveness in spontaneously breathing patients: A review of indexes used in intensive care

“…However, beyond its ascending limb, the Starling curve reaches a plateau and further fluid administration can be deleterious, leading to right ventricular overload and/or pulmonary edema (5,6). Several…”