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Critical Care

, 17:P192 | Cite as

EV1000/VolumeView: a new device for a more reliable measurement of extravascular lung water index in patients with lung resections

  • A Donati
  • C Melia
  • V Monaldi
  • R Domizi
  • E Damiani
  • A Carsetti
  • C Scorcella
  • R Castagnani
  • P Pelaia
Poster presentation
  • 900 Downloads

Keywords

Lung Cancer Small Sample Size Observational Study Strong Correlation Emergency Medicine 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Introduction

Hemodynamic monitoring is important in high-risk surgical patients in order to detect and correct circulatory instability, thereby improving outcome [1]. The extravascular lung water index (EVLWI) reflects pulmonary edema [2]. The new EV1000/VolumeView (Edwards Lifesciences) can accurately measure EVLWI corrected for the actual volume of lung parenchyma (EVLWIc). The aim of our study is to prove a stronger correlation between EVLWIc and PaO2/FiO2 compared with EVLWI in patients undergoing pulmonary resection.

Methods

A prospective observational study. Seven patients with lung cancer undergoing pulmonary resection were monitored using the EV1000 plathform. EVLWI was assessed by thermodilution at the following time points: after intubation (t1); during single-lung ventilation (t2); after lung resection (t3); after ICU admission (t4); 12 hours (t5) and 18 hours after ICU admission (t6). EVLWIc values were also collected at t3 and t4. PaO2/FiO2 was measured at the same time points.

Results

No significant correlation was found between EVLWI and PaO2/ FiO2 (r = -0.3124, P > 0.05), while a significant correlation was seen between EVLWIc and PaO2/FiO2 (r = -0.528, P = 0.009; Figure 1).
Figure 1

Correlation between PaO 2 /FiO 2 and EVLWIc.

Conclusion

Despite the small sample size, this study shows that in patients undergoing pulmonary resection the EVLWIc is more strongly correlated to PaO2/FiO2 than EVLWI. Therefore, the EV1000 may be a valuable tool for more reliable hemodynamic monitoring in this subgroup of patients.

References

  1. 1.
    Pinsky MR: Clin Chest Med. 2003, 24: 549-560. 10.1016/S0272-5231(03)00095-9CrossRefPubMedGoogle Scholar
  2. 2.
    Sakka SG, et al.: Chest. 2002, 122: 2080-2086. 10.1378/chest.122.6.2080CrossRefPubMedGoogle Scholar

Copyright information

© Donati et al.; licensee BioMed Central Ltd. 2013

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Authors and Affiliations

  • A Donati
    • 1
  • C Melia
    • 1
  • V Monaldi
    • 1
  • R Domizi
    • 1
  • E Damiani
    • 1
  • A Carsetti
    • 1
  • C Scorcella
    • 1
  • R Castagnani
    • 1
  • P Pelaia
    • 1
  1. 1.Università Politecnica delle MarcheAnconaItaly

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