Extravascular lung water and the pulmonary vascular permeability index may improve the definition of ARDS
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چکیده
منابع مشابه
Extravascular lung water and the pulmonary vascular permeability index may improve the definition of ARDS
The recent Berlin definition has made some improvements in the older definition of acute respiratory distress syndrome (ARDS), although the concepts and components of the definition remained largely unchanged. In an effort to improve both predictive and face validity, the Berlin panel has examined a number of additional measures that may reflect increased pulmonary vascular permeability, includ...
متن کاملExtravascular lung water and pulmonary vascular permeability index may inadvertently delay the identification of acute respiratory distress syndrome
colleagues [1] reported a multicenter cohort study that showed pulmonary vascular permeability index (PVPI) to be a practical diagnostic parameter to recognize acute lung injury/acute respiratory distress syndrome (ALI/ ARDS) in pulmonary edema. Th eir study deserves to be appreciated. Th e transpulmonary thermodilution technique allows an accurate bedside estimation of increased pulmonary vasc...
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evaluated the performance accuracy of three extra vascular lung water (EVLW) ratios in patients with shock at risk for or with acute lung injury (ALI). Th ey indexed EVLW to actual body weight (ABW), predicted body weight (PBW) and pulmonary blood volume (PBV), and confi rmed that all EVLW ratios were higher in patients with ALI and in non-survivors and correlated with respiratory parameters. A...
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Methods Fifteen adult patients with mean age of 43 (27-50) years with diagnosed ARDS according to Berlin definition were enrolled into an observational one-center prospective pilot study. The patients received hemodynamic monitoring using transpulmonary thermodilution (PiCCO2, Pulsion Medical Systems, Germany) with measurement of mean arterial pressure, cardiac index (CI), central venous pressu...
متن کاملThe clinical usefulness of extravascular lung water and pulmonary vascular permeability index to diagnose and characterize pulmonary edema: a prospective multicenter study on the quantitative differential diagnostic definition for acute lung injury/acute respiratory distress syndrome
INTRODUCTION Acute lung injury (ALI)/acute respiratory distress syndrome (ARDS) is characterized by features other than increased pulmonary vascular permeability. Pulmonary vascular permeability combined with increased extravascular lung water content has been considered a quantitative diagnostic criterion of ALI/ARDS. This prospective, multi-institutional, observational study aimed to clarify ...
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ژورنال
عنوان ژورنال: Critical Care
سال: 2013
ISSN: 1364-8535
DOI: 10.1186/cc11918