Top

Published in:

01-04-2013 | Letter

Extravascular lung water and pulmonary vascular permeability index may inadvertently delay the identification of acute respiratory distress syndrome

Authors: Zong-Yu Wang, Yu Bai

Published in: Critical Care | Issue 2/2013

Excerpt

In a recent issue of Critical Care, Kushimoto and 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. Their study deserves to be appreciated. The transpulmonary thermodilution technique allows an accurate bedside estimation of increased pulmonary vascular permeability, which is the physiopathologic hallmark of ALI/ARDS [2], facilitating the validity of diagnosis. However, the specific quantitative diagnostic parameter perhaps inadvertently compromises the effort to identify ARDS early. …

Kushimoto S, Taira Y, Kitazawa Y, Okuchi K, Sakamoto T, Ishikura H, Endo T, Yamanouchi S, Tagami T, Yamaguchi J, Yoshikawa K, Sugita M, Kase Y, Kanemura T, Takahashi H, Kuroki Y, Izumino H, Rinka H, Seo R, Takatori M, Kaneko T, Nakamura T, Irahara T, Saito N, Watanabe A, PiCCO Pulmonary Edema study group: The 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. Crit Care 2012, 16: R232. 10.1186/cc11898PubMedCentralCrossRefPubMed

Sakka SG: Extravascular lung water in ARDS patients. Minerva Anestesiol 2012, in press.

LeTourneau JL, Pinney J, Phillips CR: Extravascular lung water predicts progression to acute lung injury in patients with increased risk*. Crit Care Med 2012, 40: 847-854. 10.1097/CCM.0b013e318236f60ePubMedCentralCrossRefPubMed

ARDS Definition Task Force, Ranieri VM, Rubenfeld GD, Thompson BT, Ferguson ND, Caldwell E, Fan E, Camporota L, Slutsky AS: Acute respiratory distress syndrome: the Berlin Definition. JAMA 2012, 307: 2526-2533.

Tagami T, Kushimoto S, Yamamoto Y, Atsumi T, Tosa R, Matsuda K, Oyama R, Kawaguchi T, Masuno T, Hirama H, Yokota H: Validation of extravascular lung water measurement by single transpulmonary thermodilution: human autopsy study. Crit Care 2010, 14: R162. 10.1186/cc9250PubMedCentralCrossRefPubMed

Tagami T, Sawabe M, Kushimoto S, Marik PE, Mieno MN, Kawaguchi T, Kusakabe T, Tosa R, Yokota H, Fukuda Y: Quantitative diagnosis of diffuse alveolar damage using extravascular lung water. Crit Care Med 2013, 79: 274-284.

Title: Extravascular lung water and pulmonary vascular permeability index may inadvertently delay the identification of acute respiratory distress syndrome
Authors: Zong-Yu Wang
Yu Bai
Publication date: 01-04-2013
Publisher: BioMed Central
Published in: Critical Care / Issue 2/2013
Electronic ISSN: 1364-8535
DOI: https://doi.org/10.1186/cc12542

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Extravascular lung water and pulmonary vascular permeability index may inadvertently delay the identification of acute respiratory distress syndrome

Excerpt

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Excerpt

Please log in to get access to this content

Other articles of this Issue 2/2013

Whole blood impedance aggregometry findings in experimental endotoxinemia

Patient-ventilator asynchronies: may the respiratory mechanics play a role?

Impact of interleukin-10, soluble CD25 and interferon-γ on the prognosis and early diagnosis of bacteremic systemic inflammatory response syndrome: a prospective observational study

Renaissance of base deficit for the initial assessment of trauma patients: a base deficit-based classification for hypovolemic shock developed on data from 16,305 patients derived from the TraumaRegister DGU®

Mini-bronchoalveolar lavage fluid can be used for biomarker identification in patients with lung injury by employing 1H NMR spectroscopy

Strategies for prevention of postoperative delirium: a systematic review and meta-analysis of randomized trials