Izvorni znanstveni članak
Lung ultrasonography for early detection of extravascular lung water overload in intensive care patients early afer surgery: a preliminary study
MAJA KARAMAN ILIĆ
; Clinical Hospital Sveti Duh, Sveti Duh, Zagreb Croatia
TANJA GORANOVIĆ
SANJA BERIĆ LEROTIĆ
MARIJA DRAGULJIĆ SVAGUŠA
IVANA LEKO
KREŠIMIR SLUNJSKI
IDA KOŽUL
Sažetak
Aim. To investigate whether lung ultrasound
can be used to detect extravascular
lung water overload in the intensive care
unit early afer surgery.
Methods. Tis prospective study involved
60 patients without known cardiac or pulmonary
diseases admitted to the intensive
care unit at our Hospital afer elective abdominal
or vascular surgery. PaO2/FiO2
ratio, and appearance of B-lines were determined
upon admission to the intensive
care unit and at 6, 12, and 24 h later. Fluid
overload was defned as the presence of Blines
≤7 mm. Tissue oxygenation impairment
was defned as a PaO2/FiO2 ratio <
200.
Results. Fluid overload was detected in 42
patients (70%). Te dense B-lines predicted
fuid overload around the same time
as drop of PaO2/FiO2 ratio (p = 0.115).
Appearance of dense B lines correlated
strongly with PaO2/FiO2 ratio (p < 0.001).
Conclusion. Our preliminary results suggest
that lung ultrasonography may be a
promising non-invasive method for early
detection of extravascular lung water
overload in spontaneous breathing intensive
care patients soon afer surgery. Our
fndings should be verifed in larger studies.
Ključne riječi
Hrčak ID:
195354
URI
Datum izdavanja:
1.3.2018.
Posjeta: 717 *