Thoracic ultrasound evaluation and B-type natriuretic peptide value in elective cesarean section under spinal anesthesia

The Ultrasound Journal
Luigi VetrugnoTiziana Bove

Abstract

Pregnancy-induced changes in cardiovascular status make women more susceptible to pulmonary edema. During cesarean section, to counterbalance the effect of hypotension caused by spinal anesthesia, anesthesiologists must choose between two fundamental approaches to maintain the hemodynamic state-intravenous fluids or vasopressors-and this choice will depend upon their particular opinions and experience. We aim to assess for any correlations between thoracic ultrasound A- and B-line artifacts, brain natriuretic peptide (BNP) levels, and the amount of intraoperative fluids administered. From December 2016 to August 2018, at the University-Hospital of Udine, we enrolled 80 consecutive pregnant women undergoing cesarean section. We observed a statistically significant difference in the volume of fluids administered in the first 24 h (p = 0.035) between the patients presenting B-lines in at least one basal area of their thoracic ultrasound and patients with no evident B-lines (AUC 66.4%; IC 0.49-0.83). Dividing the population on whether their BNP levels were higher or less than 20 pg/mL, no statistically significant difference was revealed with regard to fluids administered in the first 24 h (p = 0.537). Thoracic ultrasound is a non-...Continue Reading

References

Feb 1, 1994·European Journal of Obstetrics, Gynecology, and Reproductive Biology·M Stark, A R Finkel
Jun 26, 2007·Annales Françaises D'anesthèsie Et De Rèanimation·F J MercierS Roger-Christoph
Sep 25, 2008·Anesthesiology·Daniel ChappellMarkus Rehm
Mar 7, 2012·Intensive Care Medicine·Giovanni VolpicelliUNKNOWN International Liaison Committee on Lung Ultrasound (ILC-LUS) for International Consensus Conference on Lung Ultrasound (ICC-
Jul 21, 2012·Cardiology Clinics·Joseph G Ouzounian, Uri Elkayam
Sep 28, 2014·Current Heart Failure Reports·Meera KumariAnjli P Maroo
Feb 19, 2016·Critical Ultrasound Journal·Luigi VetrugnoGiorgio Della Rocca
Oct 5, 2016·Gynecologic and Obstetric Investigation·Erik ArbeidFrancesco Forfori
Nov 27, 2016·International Journal of Cardiology·Michinori MayamaHidenori Oguchi
Dec 3, 2016·Turkish Journal of Anaesthesiology and Reanimation·Giorgio Della Rocca, Luigi Vetrugno
Feb 9, 2017·Obstetrics and Gynecology·Sarah PachtmanNatalie Meirowitz
Feb 15, 2017·Journal of Perinatal Medicine·Janet M BurlingameW H Wilson Tang
Apr 14, 2017·International Journal of Obstetric Anesthesia·J C KuhnE Langesæter
Jun 20, 2017·Best Practice & Research. Clinical Anaesthesiology·Allison Lee, John P R Loughrey
Mar 21, 2018·American Journal of Respiratory and Critical Care Medicine·Jean-Jacques RoubyUNKNOWN APECHO Study Group
Feb 8, 2019·Journal of Clinical Ultrasound : JCU·Paweł KrawczykJanusz Andres

❮ Previous
Next ❯

Methods Mentioned

BETA
cesarean section

Software Mentioned

Cran
R Core Team
R
SPSS Package

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.