[Bedside chest x-rays and extravascular lung water determination in intensive care patients].
Radiological staging of pulmonary oedema was compared with the determination of extra-vascular lung water by means of a double indicator dilution technique. One hundred and forty-six ward chest radiographs were evaluated and compared with the results of simultaneous measurements of lung water. Seventy-seven cases could be evaluated statistically. Chest x-rays regarded as normal corresponded to extra-vascular lung water of 5 to 9 ml./kg. body weight. Interstitial oedema (radiological stage I and II) corresponded to extravascular lung water levels of 8 to 12 ml./kg. Differentiation of stages I and II was not possible. During stage III, extra-vascular lung water was 15 to 21 ml./kg. A comparative analyses of these findings revealed a discrepancy of 34%. The reasons for this are discussed.
Haller
J
J
Czembirek
H
H
Salomonowitz
E
E
Laggner
A
A
Sommer
G
G
Tscholakoff
D
D
Leitner
H
H
Kleinberger
G
G
D000328:Adult; D000368:Aged; D003422:Critical Care; D004395:Dye Dilution Technique; D005110:Extracellular Space / Q000032:analysis*; D005260:Female; D006801:Humans; D007208:Indocyanine Green; D008168:Lung / Q000000981:diagnostic imaging* / Q000378:metabolism; D008297:Male; D011654:Pulmonary Edema / Q000175:diagnosis; D011669:Pulmonary Wedge Pressure; D011859:Radiography
D007208:Indocyanine Green
Die Thoraxbettaufnahme und extravaskuläre Lungenwasserbestimmung bei Intensivpatienten.