Highly Accessed Letter

Is extravascular lung water index useful for the diagnostic accuracy of lung injury in patients with shock? We need more evidence

Jihad Mallat

Author Affiliations

Intensive Care Unit, Centre Hospitalier du Dr. Schaffner, Service de Réanimation polyvalente, 99 route de la bassée, 62307 Lens cedex, France

Critical Care 2012, 16:420 doi:10.1186/cc11217


See related research by Chew et al., http://ccforum.com/content/16/1/R1

Published: 30 March 2012

First paragraph (this article has no abstract)

In the previous issue of Critical Care, I read with great interest the article by Chew and colleagues [1], who studied the role of extravascular lung water (EVLW) indices in improving the diagnostic accuracy of lung injury (LI) in patients with shock. It is not clear how the patients included in this study are different from those included in previous ones [2,3]. Indeed, in this work, 34 (67%) of patients had septic shock and up to 33 (65%) of patients presented with LI. Therefore, it is not proven that the results of this study could be extended to patients without septic shock and acute LI (ALI).