Journal ArticleDOI
Accuracy of transpulmonary thermodilution versus gravimetric measurement of extravascular lung water.
Rita Katzenelson,Azriel Perel,Haiim Berkenstadt,Sergei Preisman,Samuel Kogan,Leonid Sternik,Eran Segal +6 more
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TLDR
Measurement of extravascular lung water using transpulmonary thermodilution with a single indicator is very closely correlated with gravimetric measurement of lung water in both increased permeability and hydrostatic pulmonary edema.Abstract:
Objective:Pulmonary edema is a severe and often life-threatening condition. The diagnosis of pulmonary edema and its quantification have great clinical significance and yet can be difficult. A new technique based on thermodilution measurement using a single indicator has recently been developed (PiCread more
Citations
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Hemodynamic parameters to guide fluid therapy
TL;DR: A number of dynamic tests of volume responsiveness have been reported, which dynamically monitor the change in stroke volume after a maneuver that increases or decreases venous return (preload) and challenges the patients' Frank-Starling curve.
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The beta-agonist lung injury trial (BALTI): a randomized placebo-controlled clinical trial.
TL;DR: Experimental data suggest that manipulation ofAlveolar fluid clearance with β-agonists can accelerate the resolution of alveolar edema and improve survival in adult patients with acute lung injury or acute respiratory distress syndrome.
Journal ArticleDOI
Noninvasive cardiac output monitors: a state-of the-art review.
TL;DR: The resuscitation of hemodynamically unstable patients requires an accurate assessment of the patients' intravascular volume status (cardiac preload) and the ability to predict the hemodynamic response after a fluid challenge (volume responsiveness) to minimize the risks of over- or under-resuscitation.
Journal ArticleDOI
Goal-directed fluid management reduces vasopressor and catecholamine use in cardiac surgery patients
Matthias S. Goepfert,Daniel A. Reuter,Daniel A. Reuter,Derya Akyol,Peter Lamm,Erich Kilger,Alwin E. Goetz,Alwin E. Goetz +7 more
TL;DR: Guiding therapy by an algorithm based on GEDVI leads to a shortened and reduced need for vasopressors, catecholamines, mechanical ventilation, and ICU therapy in patients undergoing cardiac surgery.
Journal ArticleDOI
Extravascular lung water is an independent prognostic factor in patients with acute respiratory distress syndrome.
Mathieu Jozwiak,Stein Silva,Romain Persichini,Nadia Anguel,David Osman,Christian Richard,Jean-Louis Teboul,Xavier Monnet +7 more
TL;DR: Extravascular lung water index and pulmonary vascular permeability index measured by transpulmonary thermodilution are independent risk factors of day-28 mortality in patients with acute respiratory distress syndrome.
References
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Journal ArticleDOI
Improved Outcome Based on Fluid Management in Critically III Patients Requiring Pulmonary Artery Catheterization
TL;DR: A lower positive fluid balance, especially in patients with pulmonary edema regardless of cause, is associated with reduced EVLW, ventilator-days, and ICU days, as well as time on mechanical ventilation and time in the intensive care unit (ICU), in critically ill patients requiring pulmonary artery catheterization.
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Assessment of cardiac preload and extravascular lung water by single transpulmonary thermodilution.
Samir G. Sakka,C C Rühl,U. J. Pfeiffer,Richard Beale,A McLuckie,Konrad Reinhart,Andreas Meier-Hellmann +6 more
TL;DR: Determinations of ITBV and EVLW by single thermodilution agreed closely with the corresponding values from the double-indicator technique, making it a promising technique for the bedside.
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Measurement of Pulmonary Edema
TL;DR: The isotope transit time method is concluded that the edema water is determined more accurately when pulmonary edema is due to elevated pulmonary venous pressure than when due to increased vascular permeability.
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The Dye Dilution Method for Describing the Central Circulation An Analysis of Factors Shaping the Time-Concentration Curves
Elliot V. Newman,Margaret Merrell,Abraham Genecin,Carlos Monge,William R. Milnor,William P. McKEEVER +5 more
TL;DR: In this paper, a trivalent approach to the analysis of these curves is presented by a combination of theoretic analysis, mechanical system experimentation and clinical observation, which can reveal the size and location of the volumes of blood with which the dye is mixed in the central circulatory system.
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A Prospective Study of Lung Water Measurements during Patient Management in an Intensive Care Unit
TL;DR: It is concluded that management based on a protocol using EVLW measurements is safe, may hasten the resolution of pulmonary edema, and may lead to improved outcome in some critically ill patients.