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Anaesth Intensive Care · Nov 2022
Use of point-of-care ultrasound in the diagnosis and treatment of pulmonary oedema in an infant.
- Carl Y Lo, Sang N Le, Catherine H Nguyen, Vishwas Seshachellam, and Eugene Kim.
- Department of Anesthesiology Critical Care Medicine, Children's Hospital Los Angeles, Los Angeles, CA, USA.
- Anaesth Intensive Care. 2022 Nov 1; 50 (6): 476-479.
AbstractThis case demonstrates the value of perioperative point-of-care ultrasound for rapid bedside evaluation and treatment of pulmonary oedema in an infant. A nine-week-old male infant undergoing cleft lip repair received significant intravenous fluid resuscitation for intraoperative hypotension. After uneventful extubation, he developed increased work of breathing and a gradual decline in oxygen saturation despite supplemental oxygen by way of a facemask. Lung point-of-care ultrasound revealed confluent B-lines in multiple lung fields, consistent with pulmonary oedema, likely from fluid overload. He was treated with furosemide resulting in clinical improvement within 30 minutes.
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