Calculation of the normal range of extravascular lung water
نویسنده
چکیده
comment on our study [1]. We regret that we did not provide the number of patients with normal lung (NL) and the equation for EVLW and lung weight. We are glad to provide these details now. Nine patients had NL and 21 had lungs heavier than NL (HL). We observed a close correlation between EVLW and postmortem lung weight in both groups (NL, r = 0.78, P < 0.05; HL, r = 0.83, P < 0.01). Th e linear regres sion equations were as follows: for NL, EVLW = 0.53 × Lung weight + 5.0; for HL, EVLW = 0.58 × Lung weight – 90.0. Th e original equation for all 30 patients was EVLW = 0.56 × lung weight – 58.0 [1]. Th e correlation coeffi cients between the subjects was high and the equations were statistically signifi cant for both groups. Although Dr Zhang suggested modifying the ‘correlation coeffi cient’, it is impossible and nonsensical in order to calculate EVLW from the equation. An equation consists of a slope and an intercept. Th erefore, we provide the results com paring those parameters. Th ere was no statistically signi fi cant diff erence in the slope (P = 0.50) and the intercept (P = 0.35) for the equations between NL and HL, and in the slope (P = 0.60) and the intercept (P = 0.52) for the equations between NL and all 30 patients. We hope these data answer Dr Zhang’s insightful comments.
منابع مشابه
Validation of extravascular lung water measurement by single transpulmonary thermodilution: human autopsy study
INTRODUCTION Gravimetric validation of single-indicator extravascular lung water (EVLW) and normal EVLW values has not been well studied in humans thus far. The aims of this study were (1) to validate the accuracy of EVLW measurement by single transpulmonary thermodilution with postmortem lung weight measurement in humans and (2) to define the statistically normal EVLW values. METHODS We eval...
متن کاملEffect of exercise on dilution estimates of extravascular lung water and on the carbon monoxide diffusing capacity in normal adults.
Previous studies in exercising animals have demonstrated that the extravascular lung water accessible to measurement by dilution methodology increases in the transition from rest to low-level exercise and thereafter does not change with progress to high-level exercise. In normal humans, similar systematic examination is essential to provide a background for the interpretation of changes in meas...
متن کاملResuscitation of hemorrhagic shock with normal saline versus lactated Ringer's: effects on oxygenation, extravascular lung water, and hemodynamics
Which type of fluid to use in the resuscitation from hemorrhagic shock, within and between crystalloids or colloids, is still a matter of debate. In this context, with respect to organ dysfunction, early detection of lung injury is widely considered of particular clinical importance. For these purposes, the transpulmonary thermodilution technique that enables one to assess extravascular lung wa...
متن کاملInvited Review Indicator dilution measurements of extravascular lung water: basic assumptions and observations
Effros RM, Pornsuriyasak P, Porszasz J, Casaburi R. Indicator dilution measurements of extravascular lung water: basic assumptions and observations. Am J Physiol Lung Cell Mol Physiol 294: L1023–L1031, 2008. First published March 21, 2008; doi:10.1152/ajplung.00533.2007.—Since they were introduced more than five decades ago, a variety of single-pass indicator, thermal, and osmotic dilution appr...
متن کاملChanges with exercise in dilution estimates of extravascular lung water in patients with mitral stenosis.
We carried out simultaneous transpulmonary indicator dilution studies with 51Cr-erythrocytes, 125I-albumin, and 3H-water, in 6 patients with mitral stenosis, both at rest and during upright exercise and, from these, measured the central blood volume and extravascular space accessible to labelled water. The central blood volume increased with exercise. The water space, in the one patient with mi...
متن کامل