Abstract
IntroductionThe extravascular lung water content is determined by the use of lung ultrasound (LUS) which is represented as B-lines. The aim of this study was to investigate whether the LUS measurement of extravascular lung water was correlated to changes in oxygenation.MethodsThis prospective cohort study was comprised of 73 patients with an average age of 56 (range: 18 to 87 years) who underwent elective cardiac surgery using cardiopulmonary bypass. The LUS score was performed preoperatively, time zero (T0), at one hour (T1), and at 24 hours (T2) post-surgery. Additionally, arterial oxygen partial pressure and fraction of inspired oxygen (PaO2/FiO2) ratio were measured at each time and the time-to-extubation.ResultsA negative correlation was found between the LUS score and PaO2/FiO2 at T1 (p < 0.004). Extubation time and changes in the lung ultrasound score at T0 - T2 were positively correlated (p < 0.03). Plus, there was a positive correlation between fluid balance and lung ultrasound score at T2 (p < 0.03).ConclusionWe found three significant correlations that support the use of LUS in cardiac surgery: 1) the more B-lines, the lower the oxygenation; 2) the more B-lines, the longer the period of ventilation; 3) the more B-lines, the more positive the fluid balance. LUS is a non-invasive bedside investigation that can be used to judge extravascular lung water, providing useful information in the management of patient oxygenation, fluid balance, and extubation.
Highlights
The extravascular lung water content is determined by the use of lung ultrasound (LUS) which is represented as B-lines
There was a positive correlation between fluid balance and lung ultrasound score at T2 (p < 0.03)
We found three significant correlations that support the use of LUS in cardiac surgery: 1) the more B-lines, the lower the oxygenation; 2) the more B-lines, the longer the period of ventilation; 3) the more B-lines, the more positive the fluid balance
Summary
The aim of this study was to investigate whether the LUS measurement of extravascular lung water was correlated to changes in oxygenation. The aim of this study was to assess EVLW before and after cardiac surgery by scoring B-lines using LUS. To detect a correlation of 0.3, with 5% significance and power of 80%, we aimed to recruit 82 patients. Our goal was to see if it was practical to use LUS in cardiac surgery to show LUS signs of EVLW and demonstrate a correlation between LUS signs and oxygenation
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