Lung Ultrasound as a Bedside Tool for Assessment of Extravascular Lung Water in Critically Ill Head Injured Patients: An Observational Study
| Autor: | Kajal Jain, Vasavi Gattupalli, Tanvir Samra |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_treatment
Critical Care and Intensive Care Medicine Imaging 03 medical and health sciences 0302 clinical medicine medicine Ultrasonography Mechanical ventilation Lung APACHE II business.industry Critically ill Incidence (epidemiology) Head injury 030208 emergency & critical care medicine respiratory system medicine.disease Critical care medicine.anatomical_structure 030228 respiratory system SAPS II Anesthesia EVLW Observational study Original Article business |
| Zdroj: | Indian Journal of Critical Care Medicine : Peer-reviewed, Official Publication of Indian Society of Critical Care Medicine |
| ISSN: | 1998-359X 0972-5229 |
| Popis: | Introduction Extra vascular lung water (EVLW) is defined as the amount of fluid in the interstitial and alveolar spaces. Primary aim of this study was to assess EVLW using lung USG (B lines >3 per lung field) in critically ill head injured patients. Materials and methods Intubated adult patients admitted in Trauma ICU with head injury (GCS 4-15) were assessed by daily chest X-ray and lung ultrasonography. Lung water content was graded based on the number of B lines per ICS with score ranging from 0-32 and categorized as low pulmonary fluid burden (0-10), moderate fluid burden (11-20) and high fluid burden (21-32). Results 140 critically ill head injured patients were assessed for eligibility and 20 excluded. Incidence of increased EVLW using lung USG was 61.66% (74/120) and the incidence reported using chest x ray was 40.83%(49/120) and the difference was statistically significant (p value |
| Databáze: | OpenAIRE |
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