
Aim: The aim of the present study was conducted in the Intensive Care Unit (ICU) of our institute, with an aim to assess the correlation between EVLWI and PVPI with the severity of lung injury in patients with septic shock. Methods: The present study was conducted in the Department of Critical Care medicine (Anesthesiology), IGIMS, Patna, Bihar, India for 1 year. Results: The chest radiograph scores from both radiologists strongly correlated with EVLWI (r = 0.75 and 0.70 for observers 1 and 2, respectively, P < 0.0001 for both observers). A moderate correlation between chest radiograph scores and PVPI was obtained (r = 0.64 and 0.60 for observers 1 and 2, respectively, P < 0.0001 for both observers). The chest radiograph scores from the two independent observers correlated strongly with each other (r = 0.78, P < 0.0001). Conclusion: EVLWI and PVPI may have a prognostic significance in the assessment of lung injury in septic shock patients with ARDS. Further research is required to reveal the usefulness of EVLWI as an end point of fluid resuscitation in the management of septic shock with ARDS.
Aim: The aim of the present study was conducted in the Intensive Care Unit (ICU) of our institute, with an aim to assess the correlation between EVLWI and PVPI with the severity of lung injury in patients with septic shock. Methods: The present study was conducted in the Department of Critical Care medicine (Anesthesiology), IGIMS, Patna, Bihar, India for 1 year. Results: The chest radiograph scores from both radiologists strongly correlated with EVLWI (r = 0.75 and 0.70 for observers 1 and 2, respectively, P < 0.0001 for both observers). A moderate correlation between chest radiograph scores and PVPI was obtained (r = 0.64 and 0.60 for observers 1 and 2, respectively, P < 0.0001 for both observers). The chest radiograph scores from the two independent observers correlated strongly with each other (r = 0.78, P < 0.0001). Conclusion: EVLWI and PVPI may have a prognostic significance in the assessment of lung injury in septic shock patients with ARDS. Further research is required to reveal the usefulness of EVLWI as an end point of fluid resuscitation in the management of septic shock with ARDS.
Acute respiratory distress syndrome, critically ill patients, extravascular lung water, septic shock
Acute respiratory distress syndrome, critically ill patients, extravascular lung water, septic shock
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