Extravascular lung water index and Halperin score to predict outcome in critically ill patients

Wernly, Bernhard; Haumann, Sebastian; Masyuk, Maryna; Muessig, Johanna M.; Lichtenauer, Michael; Bäz, Laura; Franz, Marcus; Pfeil, Alexander; Lauten, Alexander; Schulze, P. Christian; Hoppe, Uta C.; Kelm, Malte; Westenfeld, Ralf; Jung, Christian; Renz, Diane M.

doi:10.1007/s00508-018-1370-8

Cited by 3 publications

(2 citation statements)

References 17 publications

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“…PiCCO monitoring can detect a small increase in EVLWI (10–15%), while chest X-ray is negative until EVLWI has increased by 100–300%. Because it is far more sensitive than chest X-ray in evaluating pulmonary edema, EVLWI is a better indicator for guiding early use of diuretics to actively reduce fluid load in the body, thereby improving the symptoms and prognosis in heart failure patients ( 9 ) EVLWI is correlated with prognosis in shock patients and positively correlated with mortality ( 17 ). EVLWI may also be used to guide diuretic therapy to improve the survival and prognosis in patients with heart failure or shock ( 18 ).…”

Section: Discussionmentioning

confidence: 99%

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Safety and efficacy of pulse-induced contour cardiac output monitoring in elderly patients with coronary artery disease and severe heart failure at coronary care units

Li-ping

Liu

Changming

et al. 2022

Front. Cardiovasc. Med.

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BackgroundThe optimal treatment for elderly patients with severe heart failure depends on the accurate assessment of their hemodynamic status. Due to its less invasive nature, the safety and efficacy of invasive pulse-induced contour cardiac output (PiCCO)-based hemodynamic monitoring remains uncertain.MethodsThis was a prospective observational study. Between January 2016 and July 2020, 190 elderly patients with severe heart failure were consecutively enrolled. The PiCCO group (89 patients) and non-invasive hemodynamic monitoring group (101 patients) were observed. Hospital stays results were evaluated.ResultsNo significant difference in clinical data (P > 0.05) or the incidence of 1-month mortality (16.0 vs. 35.0%, P = 0.141) were observed between groups. The coronary care unit (CCU) stay was shorter in the PiCCO group than in the non-invasive group (40.0 vs. 43.0%, P = 0.049). Indicators such as low Extravascular Lung Water Index (EVLWI), high Body Mass Index (BMI), low Pulmonary Artery Pressure (PAP), and high Left Ventricular Ejection Time (LVET), were associated with favorable clinical results.ConclusionEarly invasive PiCCO monitoring is safe in critically ill elderly patients with severe heart failure. The hospital stay was reduced using PiCCO monitoring. These encouraging PiCCO results favor its use in elderly patients with severe heart failure at CCUs.

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Section: Discussionmentioning

confidence: 99%

“…Compared to the traditional invasive right heart catheterization, PiCCO has the advantages of simple operation, safety, and long indwelling time ( 4 , 5 ). In addition, thoracic electrical bioimpedance (TEB) and transthoracic echocardiography are two commonly used methods for non-invasive hemodynamic monitoring ( 9 , 10 ).…”

Section: Introductionmentioning

confidence: 99%

Safety and efficacy of pulse-induced contour cardiac output monitoring in elderly patients with coronary artery disease and severe heart failure at coronary care units

Li-ping

Liu

Changming

et al. 2022

Front. Cardiovasc. Med.

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Radiographic assessment of lung edema (RALE) score is associated with clinical outcomes in patients with refractory cardiogenic shock and refractory cardiac arrest after percutaneous implantation of extracorporeal life support

et al. 2022

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Assessment of microcirculation in cardiogenic shock

Jung

2019

Current Opinion in Critical Care

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Purpose of review Adequate tissue perfusion is of utmost importance to avoid organ failure in patients with cardiogenic shock. Within the recent years, the microcirculation, defined as the perfusion of the smallest vessels, has been identified to play a crucial role. Microcirculatory changes may include capillary flow disturbances as well as changes in the density of perfused vessels. Due to the availability of new technologies to assess the microcirculation, interesting new data came up and it is the purpose of this review to summarize recent studies in the field. Recent findings Nowadays, an increasing number of studies confirm parameters of the microcirculation, derived by intravital microscopy, to represent strong outcome predictors in cardiogenic shock. In addition, microcirculation as read-out parameter in innovative clinical studies has meanwhile been accepted as serious endpoint. Treatment strategies such as mechanical assist devices, blood pressure regulating agents or fluids use tissue perfusion and microcirculatory network density as targets in addition to clinical perfusion evaluation and decreasing serum lactate levels. Summary The parameter most frequently used to detect tissue malperfusion is serum lactate. Novel, noninvasive methods to quantify microvascular perfusion have the potential to guide treatment in terms of optimizing organ perfusion and oxygenation probably paving the way for an individualized therapy.

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Extravascular lung water index and Halperin score to predict outcome in critically ill patients

Cited by 3 publications

References 17 publications

Safety and efficacy of pulse-induced contour cardiac output monitoring in elderly patients with coronary artery disease and severe heart failure at coronary care units

Safety and efficacy of pulse-induced contour cardiac output monitoring in elderly patients with coronary artery disease and severe heart failure at coronary care units

Radiographic assessment of lung edema (RALE) score is associated with clinical outcomes in patients with refractory cardiogenic shock and refractory cardiac arrest after percutaneous implantation of extracorporeal life support

Assessment of microcirculation in cardiogenic shock

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