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Development and Significance of Lung Water Measurement in Clinical and Experimental Practice

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Practical Applications of Fiberoptics in Critical Care Monitoring

Abstract

One of the major therapeutic problems in modern intensive care medicine is acute lung failure. Depending on the circumstances under which this lung failure was first described this clinical entity has been given different names, e.g. transfusion lung, ventilation lung, shock lung, infusion lung, and many more. Having recognized that this lung failure very often took the same course, disregarding the varying etiologies, this syndrome was then referred to as acute respiratory distress syndrome (ARDS). Besides uniform morphologic alterations, ARDS regularly results in interstitial pulmonary edema as its pathologic substrate. This is referred to as extravascular lung water (EVLW).

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References

  1. Aukland K, Nicolaysen G (1981) Interstitial fluid volume: Local regulatory mechanism. Physiol Rev 61: 556

    PubMed  CAS  Google Scholar 

  2. Cook CD, Mead J, Schreiner GL, Frank NR, Craig JM (1969) Pulmonary mechanisms during induced pulmonary edema in anesthetized dogs. J Appl Physiol 14: 177

    Google Scholar 

  3. Gee MH, Miller PD, Stage AF, Banchero N (1971) Estimation of pulmonary extravascular fluid volume by use of thermodilution. Fed Proc 30: 379

    Google Scholar 

  4. Goresky CA, Warnica JW, Burgess JH, Cronin RFP (1978) Measurement of the extravascular water space in the lungs. Micro vase Res 15: 149

    Article  CAS  Google Scholar 

  5. Gump FE (1978) Lung fluid and solute compartments. In: Staub NC (Ed.) Lung biology in health and disease, Vol. 7. Marcel Dekker Inc. New York-Basel

    Google Scholar 

  6. Guyton AC Lindsey AW (1965) Effect of elevated atrial pressure and decreased plasma protein concentrations on the development of pulmonary edema. Circ Res 7: 657

    Google Scholar 

  7. Holcroft JW, Trunkey DD, Carpenter MA (1978) Excessive fluid administration in resuscitating baboons from hemorrhagic shock, and an assessment of the thermo dye technique for measuring extravascular lung water. Am J Surg 135: 4126

    Article  Google Scholar 

  8. Hughes R, May AJ, Widdicombe JG (1958) The effect of pulmonary congestion and edema on lung compliance. J Physiol 142: 306

    PubMed  CAS  Google Scholar 

  9. Lehr L, Helmke HJ, Meyer GJ, Döring W, Hundeshagen H, Pichlmayr R (1982) Szintigraphische Messung regionaler Lungenwasser-unterschiede bei Intensivpflegepatienten mit C15O markierten Erythrocyten. Langenbecks Arch (Suppl) Chir Forum: 55–59

    Google Scholar 

  10. Levine OR, Mellins RB, Fishman AP (1965) Quantitative assessment of pulmonary edema. Circ Res 17: 414

    PubMed  CAS  Google Scholar 

  11. Lewis FR, Ellings VB, Hill SL, Christensen JM (1982) The measurement of extravascular lung water by thermal-green dye indicator dilution. In: Mechanisms of lung microvascular injury. Ann NY Acad Sci 384: 394

    Article  PubMed  CAS  Google Scholar 

  12. Meyer BM, Meyer A, Guyton AC (1968) Interstitial fluid pressure. Vol. 5, Negative pressure in the lung. Circ Res 22: 321

    Google Scholar 

  13. Moss GS, Gupta TK, Brinkmann R, Sehgal L, Newson B (1978) Changes in lung ultrastructure following heterologous and homologous serum albumin infusion in the treatment of hemorrhagic shock. Ann Surg 189: 236

    Article  Google Scholar 

  14. Nerlich A, Nerlich M, Sturm JA, Müller PK, Tscherne H (1983) Biochemisch feststellbare Veranderungen in der Lunge im posttraumatisch -respiratorischen Versagen. Hefte Unfallheilkde 156: 39

    Google Scholar 

  15. Noble WH, Severinghaus JW (1972) Thermal and conductivity dilution curves for rapid quantification of pulmonary edema. J Appl Physiol 32: 770

    PubMed  CAS  Google Scholar 

  16. Oestern HJ, Trentz O, Kolbow H, Sturm JA et al. (1977) Pulmonary changes and shock therapy in multiple trauma. In: Shoemaker WC, Tavares BM (Eds) Current topics in critical care medicine. Karger, Basel: 15–20

    Google Scholar 

  17. Pearce ML, Beazell JW (1966) The measurement of pulmonary parenchymal volume by thermal indicator dilution. Clin Res 14: 182

    Google Scholar 

  18. Pearce ML, Yamashita J, Beazell JW (1965) Measurement of pulmonary edema. Circ Res 16: 482

    PubMed  CAS  Google Scholar 

  19. Pfeiffer U, Sagerer M, Kohler W, Aschenbrenner A, Blümel G (1982) Zur Wertigkeit der Bestimmung des extravasalen Lungenwassers mit der Thermo-dye Technik. Langenbecks Arch (Suppl) Chir Forum: 43

    Google Scholar 

  20. Pistolesi M, Minidi M, Ravelli V, Giuntini C (1982) Injury versus hydrostatic lung edema (Detection by chest X-ray) In: Mechanisms of lung microvascular injury. Ann NY Acad Sci: 384

    Google Scholar 

  21. Said SI, Longacher JW, Davis RL, Wooddell WJ (1964) Pulmonary gas exchange during induction of pulmonary edema in anesthetized dogs. J Appl Physiol 19: 403

    PubMed  CAS  Google Scholar 

  22. Sharp JT, Griffith GT, Bunnell JL, Greene DG (1958) Ventilatory mechanics in pulmonary edema in man. J Clin Invest 37: 111

    Article  PubMed  CAS  Google Scholar 

  23. Shoemaker WC, Hauser CJ (1979) Critique of crystalloids versus colloid therapy in shock and shock lung. Crit Care Med 7: 117

    Article  PubMed  CAS  Google Scholar 

  24. Staub NC (1974) Pulmonary edema. Physiol Rev 54: 678

    Article  PubMed  CAS  Google Scholar 

  25. Sturm JA (1983) Experimentelle Untersuchungen zur posttraumatischen Permeabilitätsschädigung der Lungenkapillaren und zum Einfluß unterschiedlicher Volumentherapeutika auf die Flüssigkeitsverteilung in der Lunge. Med. Hochschule Hannover, Habil.-Schrift.

    Google Scholar 

  26. Sturm JA, Oestern HJ, Kant CJ (1982) Volumentherapie bei der Sepsis, der Einsatz von kristalloiden Lösungen. In: Lawin P, Peter K, Hartenauer U (Eds) Infektion-Sepsis-Peritonitis., 2. Intern. Symp. überaktuelleProblemederNot-fallmed. und Intensivtherapie in Münster. G. Thieme, Stuttgart-New York

    Google Scholar 

  27. Sturm JA, Oestern HJ, Maghsudi M, Pfeiffer O, Joachim H (1982) Die gravimetrische Überprüfung der klinischen Lungenwassermessung. Langenbecks Arch (Suppl) Chir Forum: 49

    Google Scholar 

  28. Sugerman HJ, Strask AM, Hirsch JJ, Glauser FL, Shirazi KK, Sharp DE, Greenfield LJ (1981) Sensitivity of szintigraphy for detection of pulmonary capillary albumin leak in canin oleic acid ARDS. J Trauma 21: 520

    Article  PubMed  CAS  Google Scholar 

  29. Virgilio RW, Smith DE, Rice CL, Hobelmann CL, Zarins CK, James DR, Peters RM (1976) Effect of colloid osmotic pressure and pulmonary capillary wedge pressure on intrapulmonary shunt. Surg Forum 27: 168

    PubMed  CAS  Google Scholar 

  30. Weibel ER, Bachofen H (1979) Structural design of the alveolar septum and fluid exchange. In: Fishman AP (Ed) Pulmonary edema. Am Phys Soc Bethesda, Md.

    Google Scholar 

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Authors
  1. J. A. Sturm
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Editors and Affiliations

  1. Ward 3A, San Francisco General Hospital, 1001 Potrero Avenue, San Francisco, California, 94110, USA

    Frank R. Lewis Jr. M.D.

  2. Institut für Experimentelle Chirurgie Klinikum Rechts der Isar, Technische Universität München, Ismaningerstraße 22, München 80, D-8000, Germany

    Ulrich J. Pfeiffer

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© 1990 Springer-Verlag Berlin Heidelberg

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Sturm, J.A. (1990). Development and Significance of Lung Water Measurement in Clinical and Experimental Practice. In: Lewis, F.R., Pfeiffer, U.J. (eds) Practical Applications of Fiberoptics in Critical Care Monitoring. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-75086-1_17

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  • DOI: https://doi.org/10.1007/978-3-642-75086-1_17

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-51718-4

  • Online ISBN: 978-3-642-75086-1

  • eBook Packages: Springer Book Archive

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