Accuracy of ultrasound B-lines score and E/Ea ratio to estimate extravascular lung water and its variations in patients with acute respiratory distress syndrome
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| 024 | 7 | 0 | |a 10.1007/s10877-014-9582-6 |2 doi |
| 035 | |a (NATIONALLICENCE)springer-10.1007/s10877-014-9582-6 | ||
| 245 | 0 | 0 | |a Accuracy of ultrasound B-lines score and E/Ea ratio to estimate extravascular lung water and its variations in patients with acute respiratory distress syndrome |h [Elektronische Daten] |c [Benoît Bataille, Guillaume Rao, Pierre Cocquet, Michel Mora, Bruno Masson, Jean Ginot, Stein Silva, Pierre-Etienne Moussot] |
| 520 | 3 | |a Extravascular lung water (EVLW) could increase by permeability pulmonary oedema, cardiogenic oedema, or both. Transthoracic echocardiography examination of a patient allows quantifying B-lines, originating from water-thickened interlobular septa, and the E/Ea ratio, related to pulmonary capillary wedge pressure. The aim of our study was to assess the correlation and the trending ability between EVLW measured by transpulmonary thermodilution and the B-lines score or the E/Ea ratio in patients with ARDS. Twenty-six intensive care unit patients were prospectively included. B-lines score was obtained from four ultrasound zones (anterior and lateral chest on left and right hemithorax). E/Ea was measured from the apical four-chamber view. EVLW was compared with the B-lines score and the E/Ea ratio. A linear mixed effect model was used to take account the repeated measurements. A p value <0.05 was considered significant. A total of 73 measurements were collected. The correlation coefficient between EVLW and B-lines score was 0.66 (EVLW=0.71 B-lines+7.64, R2=0.44, p=0.001), versus 0.31 for E/Ea (p=0.06). The correlation between EVLW changes and B-lines variations was significant (R2=0.26, p<0.01), with a concordance rate of 74%. A B-lines score ≥6 had a sensitivity of 82% and a specificity of 77% to predict EVLW >10ml/kg, with an AUC equal to 0.86 (0.76-0.93). The gray zone approach identified a range of B-lines between four and seven for which EVLW >10ml/kg could not be predicted reliably. The correlation between ultrasound B-lines and EVLW was significant, but the B-lines score was not able to track EVLW changes reliably. | |
| 540 | |a Springer Science+Business Media New York, 2014 | ||
| 690 | 7 | |a Measurement techniques—thermodilution |2 nationallicence | |
| 690 | 7 | |a Measurement techniques—Doppler echocardiography |2 nationallicence | |
| 690 | 7 | |a Lung—adult respiratory distress syndrome |2 nationallicence | |
| 690 | 7 | |a Heart—myocardial function |2 nationallicence | |
| 700 | 1 | |a Bataille |D Benoît |u Service de Réanimation Polyvalente, Centre Hospitalier de Narbonne, Bd Dr Lacroix, 11100, Narbonne, France |4 aut | |
| 700 | 1 | |a Rao |D Guillaume |u Service de Réanimation Polyvalente, Centre Hospitalier de Narbonne, Bd Dr Lacroix, 11100, Narbonne, France |4 aut | |
| 700 | 1 | |a Cocquet |D Pierre |u Service de Réanimation Polyvalente, Centre Hospitalier de Narbonne, Bd Dr Lacroix, 11100, Narbonne, France |4 aut | |
| 700 | 1 | |a Mora |D Michel |u Service de Réanimation Polyvalente, Centre Hospitalier de Narbonne, Bd Dr Lacroix, 11100, Narbonne, France |4 aut | |
| 700 | 1 | |a Masson |D Bruno |u Service de Réanimation Polyvalente, Centre Hospitalier de Narbonne, Bd Dr Lacroix, 11100, Narbonne, France |4 aut | |
| 700 | 1 | |a Ginot |D Jean |u Service de Réanimation Polyvalente, Centre Hospitalier de Narbonne, Bd Dr Lacroix, 11100, Narbonne, France |4 aut | |
| 700 | 1 | |a Silva |D Stein |u Pôle d'Anesthésie-Réanimation, Centre Hospitalier Universitaire, CHU Purpan, Place du Dr Baylac, 31059, Toulouse Cedex 9, France |4 aut | |
| 700 | 1 | |a Moussot |D Pierre-Etienne |u Service de Réanimation Polyvalente, Centre Hospitalier de Narbonne, Bd Dr Lacroix, 11100, Narbonne, France |4 aut | |
| 773 | 0 | |t Journal of Clinical Monitoring and Computing |d Springer Netherlands |g 29/1(2015-02-01), 169-176 |x 1387-1307 |q 29:1<169 |1 2015 |2 29 |o 10877 | |
| 856 | 4 | 0 | |u https://doi.org/10.1007/s10877-014-9582-6 |q text/html |z Onlinezugriff via DOI |
| 898 | |a BK010053 |b XK010053 |c XK010000 | ||
| 900 | 7 | |a Metadata rights reserved |b Springer special CC-BY-NC licence |2 nationallicence | |
| 908 | |D 1 |a research-article |2 jats | ||
| 949 | |B NATIONALLICENCE |F NATIONALLICENCE |b NL-springer | ||
| 950 | |B NATIONALLICENCE |P 856 |E 40 |u https://doi.org/10.1007/s10877-014-9582-6 |q text/html |z Onlinezugriff via DOI | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Bataille |D Benoît |u Service de Réanimation Polyvalente, Centre Hospitalier de Narbonne, Bd Dr Lacroix, 11100, Narbonne, France |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Rao |D Guillaume |u Service de Réanimation Polyvalente, Centre Hospitalier de Narbonne, Bd Dr Lacroix, 11100, Narbonne, France |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Cocquet |D Pierre |u Service de Réanimation Polyvalente, Centre Hospitalier de Narbonne, Bd Dr Lacroix, 11100, Narbonne, France |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Mora |D Michel |u Service de Réanimation Polyvalente, Centre Hospitalier de Narbonne, Bd Dr Lacroix, 11100, Narbonne, France |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Masson |D Bruno |u Service de Réanimation Polyvalente, Centre Hospitalier de Narbonne, Bd Dr Lacroix, 11100, Narbonne, France |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Ginot |D Jean |u Service de Réanimation Polyvalente, Centre Hospitalier de Narbonne, Bd Dr Lacroix, 11100, Narbonne, France |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Silva |D Stein |u Pôle d'Anesthésie-Réanimation, Centre Hospitalier Universitaire, CHU Purpan, Place du Dr Baylac, 31059, Toulouse Cedex 9, France |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Moussot |D Pierre-Etienne |u Service de Réanimation Polyvalente, Centre Hospitalier de Narbonne, Bd Dr Lacroix, 11100, Narbonne, France |4 aut | ||
| 950 | |B NATIONALLICENCE |P 773 |E 0- |t Journal of Clinical Monitoring and Computing |d Springer Netherlands |g 29/1(2015-02-01), 169-176 |x 1387-1307 |q 29:1<169 |1 2015 |2 29 |o 10877 | ||