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Figure 2 | Critical Care

Figure 2

From: Early fluid loading in acute respiratory distress syndrome with septic shock deteriorates lung aeration without impairing arterial oxygenation: a lung ultrasound observational study

Figure 2

Representative images illustrating lung ultrasound changes following fluid loading in three patients with septic shock and acute respiratory distress syndrome. In the first patient, (A) the image obtained before fluid loading shows normal aeration in the left lateral and superior lung region with the presence of lung sliding and A lines; (B) the image obtained 40 minutes after fluid loading, shows the presence of B1 lines in the same lung region. In the second patient, (C) the image obtained before fluid loading shows normal aeration in the left lateral and inferior lung region with the presence of lung sliding and A lines; (D) the image obtained 40 minutes after fluid loading, shows the presence of B2 lines in the same lung region. In the third patient, (E) the image obtained before fluid loading shows B1 lines in the right lateral and inferior lung region; (F) the image obtained 40 minutes after fluid loading, shows the presence of B2 lines issued from a juxtapleural consolidation in the same lung region.

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Critical Care

ISSN: 1364-8535