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HISTORY Patients with acute respiratory disease attributed to cardiogenic pulmonary edema may require mechanical ventilation, which may cause more lung damage. Patients from the LUNG SAFE cohort, a multicenter prospective cohort study of patients receiving mechanical ventilation, were studied. A subgroup ventilated with high pressures with lower risk of being released alive from the ICU and raised hospital mortality on ICU day 1 revealed a subgroup ventilated with high pressures with lower chance of being discharged alive from the ICU and increased hospital mortality. Conclusions: Patients with CPE who are invasively ventilated have higher airway pressures, which are closely linked to mortality.
Source link: https://doi.org/10.1186/s40560-022-00648-x
The aim of this research was to determine whether echocardiographic techniques adapted for lung assessment might aid in the diagnosis of dyspnea in dogs. Twelve dogs with chronic valvular heart disease dogs without cardiac renovation, 30 CVHD dogs with cardiac remodeling, 15 CVHD dogs with cardiogenic pulmonary edema, and 15 dogs with pulmonary disease were prospectively enrolled. In both four scenarios, the results showed that a POSITIVE classification distinguished dogs with pulmonary edema or disease from asymptomatic CVHD dogs. Both with the same sensitivity and specificity of 95. 6% and 82. 2%, respectively, on the best views were right the orthodox short axis at papillary muscle level and long axis 4-cham view. Angelect pulmonary edema from disease with 100% specificity was shown by multivariate tests, which included cutoff values of peak E wave > 130, E/IVRT > 2. 5 or LA/Ao > 2. 0.
Source link: https://doi.org/10.1007/s11259-022-10026-5
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