Articles: extravascular-lung-water.
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Hepato Gastroenterol · Nov 2009
Randomized Controlled Trial Comparative StudyTherapeutic influence of 20 % albumin versus 6% hydroxyethylstarch on extravascular lung water in septic patients: a randomized controlled trial.
Recent studies demonstrated that extravascular lung water (EVLW) is a reliable and independent marker for outcome. The primary therapeutically goal in critically ill patients is to resuscitate and retain adequate organ perfusion by fluid administration, where is necessary to achieve adequate intravascular filling, but avoid initiation of pulmonary edema. ⋯ The present study results show can summarize that albumin reduces in a higher amount and earlier the extravascular lung water than HES, but this reduction was not associated with improvement of oxygenation functions, which was better in HES group.
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Zhongguo Wei Zhong Bing Ji Jiu Yi Xue · Oct 2009
Randomized Controlled Trial[A study on the effect of recruitment maneuver imposed on extravascular lung water in patients with acute respiratory distress syndrome].
To investigate the possible effects of recruitment maneuver (RM) imposing on extravascular lung water (EVLW) in patients with acute respiratory distress syndrome (ARDS). ⋯ RM for the patients with ARDS can merely improve lung mechanics without obvious effect on EVLW. Neither of the influencing factors involved in the study has impact on emergence and clearance of EVLW.
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Randomized Controlled Trial
Effects of epidural anesthesia on intrathoracic blood volume and extravascular lung water during on-pump cardiac surgery.
The most important side effect of epidural anesthesia is hypotension with functional hypovolemia. Aggressive infusion therapy can reduce the hypotension effect. However, in conjunction with cardiopulmonary bypass, it can increase acute lung injury. We hypothesized that epidural anesthesia, by reducing cardiac sympathetic tonus, with subsequent better pulmonary flow, does not increase lung interstitial fluids. ⋯ Epidural anesthesia / analgesia does not increase interstitial lung fluids by increasing intrathoracic blood volume or the amount of infusion fluids in patients undergoing cardiac surgery under cardiopulmonary bypass. There is, also, a decreased duration of mechanical lung ventilation.
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Zhongguo Wei Zhong Bing Ji Jiu Yi Xue · May 2007
Randomized Controlled Trial[Effect of fluid resuscitation on extravascular lung water in early stage of septic shock].
To determine the effect of fluid resuscitation on extravascular lung water (EVLW) in early stage of septic shock. ⋯ Fluid resuscitation in early stage of septic shock can improve ITBVI, GEDVI, CI, SI, CVP, with neither increased EVLWI nor worsened oxygenation. EVLWI has significantly negative correlation with PaO(2)/FiO(2) but not with haemodynamics. The increase in PVPI is responsible for the elevation of EVLWI. The patient's outcome is significantly correlated with the value of EVLWI.
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Cardiovasc Ultrasoun · Jan 2006
Randomized Controlled Trial Comparative StudyEvaluation of ultrasound lung comets by hand-held echocardiography.
Ultrasound lung comets (ULCs) are a clinically useful sign of extravascular lung water. They require very limited technology (2 D-echo), and a short learning curve. The aim of the present study is to compare ULCs information obtained by experienced echocardiologists using a full feature echocardiographic platform and by inexperienced sonographers using a hand-held echocardiography system. ⋯ ULCs are equally reliable in the hands of highly experienced echocardiologists using full feature echocardiographic platforms and in the hands of absolute beginners with miniaturized, compact, and battery-equipped echocardiographic systems. From the technological and expertise viewpoint, ULCs are the "kindergarten" of echocardiography, ideally suited for bedside evaluation of patients with both known or suspected heart failure.