Evaluating extravascular lung water in sepsis: Three lung-ultrasound techniques compared against transpulmonary thermodilution

Conclusion: L-US is feasible in patients with severe sepsis. In addition, L-US 28-zone protocol demonstrated high specificity and better sensitivity than abbreviated 4- and 8-zone protocols. In ARDS, the L-US 28-zone protocol was more accurate than the 4- and 8-zone protocols in predicting EVLW. Consideration of limitations of the latter protocols may prevent clinicians from reaching premature conclusions regarding the prediction of EVLW. Trial Registration: ISRCTN11419081. Registered 4 February 2015 retrospectively.

Source: Indian Journal of Critical Care Medicine - September 17, 2018 Category: Intensive Care Authors: Pattarin Pirompanich Dimitrios Karakitsos Abdulrahman Alharthy Lawrence Marshall Gillman Michael Blaivas Brian M Buchanan Peter G Brindley Anan Wattanathum Source Type: research