Digitalized acoustic monitoring of lung congestion
© Lev et al.; licensee BioMed Central Ltd. 2012
Published: 20 March 2012
Changes in lung water are known to change breath sound acoustics . Using two pig models, we observed that continuous elevation of lung sound amplitude may indicate an increase in total lung water content . Here we report three cases of ventilated patients in whom continuous acoustic monitoring was done during extravascular lung water (EVLW) measurements.
We retrospectively analyzed cases in which EVLWi (PiCCO) and other clinical parameters were measured, during continuous acoustic monitoring (VRI), using eight small sensors adhered to the anterior chest. A transmission factor (TF) was calculated, using the sound transfer function between different sensors. The TF changes in correspondence to changes in tissue density . The difference in TF was calculated between recordings when pulmonary edema was observed (>7 ml/kg threshold accompanied with an increase of 2 ml/kg in the EVLWi) and when absent. Statistical analysis was made using a t test.
Changes in lung water tend to result in changes in the sound TF, due to changes in the tissue's density. These preliminary results indicate that monitoring lung sounds has the potential to monitor changes in lung water.
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