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Pulmonary Edema

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The diagnostic performance of automatic B-lines detection for evaluating pulmonary edema in the emergency department among novice point-of-care ultrasound practitioners.

Emergency radiology
PURPOSE: B-lines in lung ultrasound have been a critical clue for detecting pulmonary edema. However, distinguishing B-lines from other artifacts is a challenge, especially for novice point of care ultrasound (POCUS) practitioners. This study aimed t...

Beyond SEP-1 Compliance: Assessing the Impact of Antibiotic Overtreatment and Fluid Overload in Suspected Septic Patients.

The Journal of emergency medicine
BACKGROUND: The Centers for Medicare and Medicaid Services (CMS) developed the Severe Sepsis and Septic Shock Performance Measure bundle (SEP-1) metric to improve sepsis care, but evidence supporting this bundle is limited and harms secondary to comp...

Deep Learning for Detection and Localization of B-Lines in Lung Ultrasound.

IEEE journal of biomedical and health informatics
Lung ultrasound (LUS) is an important imaging modality used by emergency physicians to assess pulmonary congestion at the patient bedside. B-line artifacts in LUS videos are key findings associated with pulmonary congestion. Not only can the interpre...

Two- Versus 8-Zone Lung Ultrasound in Heart Failure: Analysis of a Large Data Set Using a Deep Learning Algorithm.

Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine
OBJECTIVE: Scanning protocols for lung ultrasound often include 8 or more lung zones, which may limit real-world clinical use. We sought to compare a 2-zone, anterior-superior thoracic ultrasound protocol for B-line artifact detection with an 8-zone ...

A deep learning model enables accurate prediction and quantification of pulmonary edema from chest X-rays.

Critical care (London, England)
BACKGROUND: A quantitative assessment of pulmonary edema is important because the clinical severity can range from mild impairment to life threatening. A quantitative surrogate measure, although invasive, for pulmonary edema is the extravascular lung...

Prognostic significance of pulmonary arterial wedge pressure estimated by deep learning in acute heart failure.

ESC heart failure
AIMS: Acute decompensated heart failure (ADHF) presents with pulmonary congestion, which is caused by an increased pulmonary arterial wedge pressure (PAWP). PAWP is strongly associated with prognosis, but its quantitative evaluation is often difficul...

Estimation of extravascular lung water using the transpulmonary ultrasound dilution (TPUD) method: a validation study in neonatal lambs.

Journal of clinical monitoring and computing
Increased extravascular lung water (EVLW) may contribute to respiratory failure in neonates. Accurate measurement of EVLW in these patients is limited due to the lack of bedside methods. The aim of this pilot study was to investigate the reliability ...

Effects of steep Trendelenburg position for robotic-assisted prostatectomies on intra- and extrathoracic airways in patients with or without chronic obstructive pulmonary disease.

British journal of anaesthesia
BACKGROUND: The use of the steep Trendelenburg position and abdominal CO2-insufflation during surgery can lead to significant reduction in pulmonary compliance and upper airway oedema. The postoperative time course of these effects and their influenc...

Artificial Intelligence-Guided Lung Ultrasound by Nonexperts.

JAMA cardiology
IMPORTANCE: Lung ultrasound (LUS) aids in the diagnosis of patients with dyspnea, including those with cardiogenic pulmonary edema, but requires technical proficiency for image acquisition. Previous research has demonstrated the effectiveness of arti...