Transpulmonary dilution-derived extravascular lung water as a measure of lung edema

Current Opinion in Critical Care

Volumn 13, Issue 3, 2007, Pages 303-307

  Khan, Saheed ^a   Trof, Ronald J ^a   Groeneveld, A B Johan ^a  

^a VU UNIVERSITY MEDICAL CENTER   (Netherlands)

Author keywords

Extravascular lung water; Hemodynamic monitoring; Lung edema; Pulmonary arterial catheter; Sepsis; Single transpulmonary thermodilution

Indexed keywords

ACUTE LUNG INJURY; ADULT RESPIRATORY DISTRESS SYNDROME; ANALYTICAL PARAMETERS; AUTOPSY; BLOOD VOLUME; CLINICAL DECISION MAKING; CLINICAL FEATURE; CLINICAL STUDY; CRITICALLY ILL PATIENT; DISEASE SEVERITY; GRAVIMETRY; HEMODYNAMIC MONITORING; HUMAN; HYDRATION; HYPOTENSION; LUNG CAPILLARY PRESSURE; LUNG EDEMA; LUNG EXTRAVASCULAR FLUID; LUNG HEMODYNAMICS; MORBIDITY; MORTALITY; NONHUMAN; OLIGURIA; PATIENT MONITORING; PROGNOSIS; PROPHYLAXIS; REVIEW; SHOCK; THERMODILUTION; THORAX; TREATMENT RESPONSE;

ANIMALS; EXTRAVASCULAR LUNG WATER; HUMANS; PULMONARY ARTERY; PULMONARY EDEMA; THERMODILUTION;

EID: 34249087189     PISSN: 10705295     EISSN: 15317072     Source Type: Journal    
DOI: 10.1097/MCC.0b013e32811d6ccd     Document Type: Review

References (44)

1. Baudendistel L, Shields JB, Kaminsiki DL. Comparison of double indicator thermodilution measurements of extravascular lung water (EVLW) with radiographic estimation of lung water in trauma patients. J Trauma 1982; 22:983-988.
2. Sibbald WJ, Warshawski FJ, Short AK, et al. Clinical studies of measuring extravascular lung water by the thermal dye technique in critically ill patients. Chest 1983; 83:725-731.
3. Sakr Y, Vincent JL, Reinhart K, et al. High tidal volume and positive fluid balance are associated with worse outcome in acute lung injury. Chest 2005; 128:3098-3108.
4. The National Heart, Lung and Blood Institute Acute Respiratory Distress Syndrome (ARDS) Clinical Trials Network. Comparison of two fluid-management strategies in acute lung injury. N Engl J Med 2006; 354:2564-2575.
5. Mihm FG, Weeley TW, Jamieson S. Thermal dye double indicator dilution measurement of lung water in man: comparison with gravimetric measurements. Thorax 1987; 42:72-76.
6. Wickerts C-J, Jakobsson J, Frostell C, Hedenstierna G. Measurement of extravascular lung water by thermal-dye dilution technique: mechanisms of cardiac output dependence. Intensive Care Med 1990; 16:115-120.
7. Zeravik J, Borg U, Pfeiffer U. Efficacy of pressure support ventilation dependent on extravascular lung water. Chest 1990; 97:1412-1419.
8. Colmenero-Ruiz M, Fernández-Mondéjar E, Fernández-Sacristán MA, et al. PEEP and low tidal volume ventilation reduce lung water in porcine pulmonary edema. Am J Respir Crit Care Med 1997; 155:964-970.
9. Gödje O, Peyerl M, Seebauer T, et al. Reproducibility of double indicator dilution measurements of intrathoracic blood volume compartments, extravascular lung water, and liver function. Chest 1998; 113:1070-1077.
10. Bindels AJGH, Van der Hoeven JG, Meinders AE. Pulmonary artery wedge pressure and extravascular lung water in patients with acute cardiogenic pulmonary edema requiring mechanical ventilation. Am J Cardiol 1999; 84:1158-1163.
11. Kunst PW, Vonk Noordegraaf A, Raaijmakers E, et al. Electrical impedance tomography in the assessment of extravascular lung water in noncardiogenic acute respiratory failure. Chest 1999; 116:1695-1702.
12. Neumann P. Extravascular lung water and intrathoracic blood volume: double versus single indicator dilution technique. Intensive Care Med 1999; 25:216-219.
13. Schreiber T, Hüter L, Schwarzkopf K, et al. Lung perfusion affects preload assessment and lung water calculation with the transpulmonary double indicator method. Intensive Care Med 2001; 27:1814-1818.
14. Boussat S, Jacques T, Levy B, et al. Intravascular volume monitoring and extravasuclar lung water in septic patients with pulmonary edema. Intensive Care Med 2002; 28:712-718.
15. Holm C, Tegeler J, Mayr M, et al. Effect of crystalloid resuscitation and inhalation injury on extravascular lung water: clinical implications. Chest 2002; 121:1956-1962.
16. Sakka G, Klein M, Reinhart K, Meier-Hellman A. Prognostic value of extravascular lung water in critically ill patients. Chest 2002; 122:2080-2086.
17. Luecke T, Roth H, Herrmann P, et al. PEEP decreases atelectasis and extravascular lung water but not lung tissue volume in surfactant-washout lung injury. Intensive Care Med 2003; 29:2026-2033.
18. Roch A, Michelet P, Lambert D, et al. Accuracy of the double indicator method for measurement of extravascular lung water depends on the type of acute lung injury. Crit Care Med 2004; 32:811-817.
19. Michard F, Schachtrupp A, Toens C. Factors influencing the estimation of extravascular lung water by transpulmonary thermodilution in critically ill patients. Crit Care Med 2005; 33:1243-1247.
20. Patroniti N, Bellani G, Maggioni E, et al. Measurement of pulmonary edema in patients with acute respiratory distress syndrome. Crit Care Med 2005; 33:2547-2554.
21. Roch A, Michelet P, D'journo B, et al. Accuracy and limits of transpulmonary dilution methods in estimating extravascular lung water after pneumonectomy. Chest 2005; 128:927-933.
22. Verheij J, van Lingen A, Raijmakers PG, et al. Pulmonary abnormalities after cardiac surgery are better explained by atelectasis than by increased permeability oedema. Acta Anaesthesiol Scand 2005; 49:1302-1310.
23. Groeneveld AB, Verheij J, van den Berg FG, et al. Increased pulmonary capillary permeability and extravascular lung water after major vascular surgery: effect on radiography and ventilatory variables. Eur J Anaesthesiol 2006; 23:36-41. This study shows that an increase in EVLW, mainly as a consequence of increased pulmonary vascular permeability, is common after vascular surgery but does not fully explain postoperative gas exchange abnormalities.
24. Groeneveld AB, Verheij J. Extravascular lung water to blood volume ratios as measures of permeability in sepsis-induced ALI/ARDS. Intensive Care Med 2006; 32:1315-1321. This study shows that the EVLW/ITBV of PBV ratio is an imperfect measure of independently evaluated pulmonary vascular protein permeability, in sepsis and pneumonia.
25. Perrin G, Roch A, Michelet P, et al. Inhaled nitric oxide does not prevent pulmonary edema after lung transplantation measured by lung water content: a randomized clinical study. Chest 2006; 129:1024-1030.
26. Verheij J, van Lingen A, Raijmakers PG, et al. Effect of fluid loading with saline or colloids on pulmonary permeability, oedema and lung injury score after cardiac and major vascular surgery. Br J Anaesth 2006; 96:21-30. This study uses EVLW measurements to evaluate the effect of crystalloid and colloid fluid resuscitation of pulmonary edema formation after cardiac and major vascular surgery and shows no difference among fluid types in this respect.
27. Sakka SG, Rühl CC, Pfeiffer UJ, et al. Assessment of cardiac preload and extravascular lung water by single transpulmonary thermodilution. Intensive Care Med 2000; 26:180-187.
28. Fernández-Mondejar F, Castano-Perez J, Rivera-Fernandez R, et al. Quantification of lung water by transpulmonary thermodilution in normal and oedematous lung. J Crit Care 2003; 18:253-258.
29. Katzenelson R, Berkenstadt H, Preisman S, et al. Accuracy of transpulmonary thermodilution versus gravimetric measurement of extravascular lung water. Crit Care Med 2004; 32:1550-1554.
30. Kirov MY, Kuzkov V, Kuklin VB, et al. Extravascular lung water assessed by transpulmonary single thermodilution and postmortem gravimetry in sheep. Crit Care 2004; 8:R451-R458.
31. Szakmany T, Heigl P, Molnar Z. Correlation between extravasuclar lung water and oxygenation in ALI/ARDS patients with septic shock: possible role in development of atelectasis. Anaesth Intensive Care 2004; 32:196-201.
32. Fernández-Mondéjar E, Rivera-Fernandéz R, García-Delgado M, et al. Small increases in extravascular lung water are accurately detected by transpulmonary thermodilution. J Trauma 2005; 59:1420-1424.
33. Martin GS, Eaton S, Mealer M, Moss M. Extravascular lung water in patients with severe sepsis: a prospective cohort study. Crit Care 2005; 9:R74-R82.
34. Kuzkov VV, Kirov MY, Soverhaev MA, et al. Extravascular lung water determined with single transpulmonary thermodilution correlates with the severity of sepsis-induced acute lung injury. Crit Care Med 2006; 34:1647-1653. A fine clinical study underlining the clinical significance of an elevated EVLW in sepsis-induced ALI.
35. Perkins GD, McAuley DF, Thickett DR, Gao F. The b-agonist lung injury trial (BALTI): a randomized placebo-controlled clinical trial. Am J Respir Crit Care Med 2006; 173:281-287. This study documents the potential of salbutamol to decrease EVLW in ALI/ARDS.
36. Rossi P, Wanecek M, Rudehill A, et al. Comparison of a single indicator and gravimetric technique for estimation of extravascular lung water in endotoxemic pigs. Crit Care Med 2006; 34:1437-1443. Experimental study on pitfalls and merits of PiCCO EVLW measurements.
37. Kirov MY, Kuzkov V, Fernández-Mondejar E, et al. Measuring extravascular lung water: animal and humans are not the same. Crit Care 2006; 10:415.
38. Groeneveld AB, Polderman KH. Acute lung injury, overhydration or both. Crit Care 2005; 2:136-137.
39. Carlile PV, Gray BA. Type of lung injury influences the thermal-dye estimation of extravascular lung water. J Appl Physiol 1984; 57:680-685.
40. Carlile PV, Lowery DD, Gray BA. Effect of PEEP and type of injury on thermal-dye estimation of pulmonary edema. J Appl Physiol 1986; 60:22-31.
41. Carlile PV, Hagan SF, Gray BA. Perfusion distribution and lung thermal volume in canine hydrochloric acid aspiration. J Appl Physiol 1988; 65:750-759.
42. Davey-Quinn A, Gedney JA, Whiteley SM, Bellamy MC. Extravascular lung water and acute respiratory distress syndrome: oxygenation and outcome. Anaesth Intensive Care 1999; 27:357-362.
43. Mitchell JP, Schuller D, Calandrino S, Schuster DP. Improved outcome based on fluid management in critically ill patients requiring pulmonary artery catheterization. Am Rev Respir Dis 1992; 145:990-998.
44. Boldt J, Kling D, Von Bormann B, et al. Influence of cardiac output on thermaldye extravascular lung water (EVLW) in cardiac patients. Intensive Care Med 1987; 13:310-314.