EVLW and its Importance in Fluid Management

Fluid management and optimization is one of the most frequently observed problems in anesthesiology critical care. An ideal hemodynamic increases oxygen supply to tissues, improves postoperative outcomes decreases surgical costs. Extravascular lung water (EVLW) measurement has gained widespread acceptance early prediction adverse effects caused by fluid treatment. The fundamental aim acute circulatory failure treatment improve tissue perfusion oxygenation while avoiding overload. EVLW consists extravascular interstitial, intracellular, alveolar lymphatic lungs its normal values are 3-7 ml kg-1. Studies have reported that above 10 kg-1 as a cut-off value points pulmonary edema. Although gold standard gravimetric method, ultrasound transpulmonary thermodilution more widely utilized since can only be performed post-mortem. expected gain importance ALI/ARDS patients future studies will benefit from focusing on based therapy.