<abstract xmlns="http://www.w3.org/1999/xhtml"><sec id="j_raon-2018-0047_s_006_w2aab3b7c14b1b6b1aab1c18b1Aa"><h3>Background</h3><p>There are no data on usefulness of optic nerve sheath diameter (ONSD) as a marker of patient’s fluid status in preeclampsia. The objective was to examine potential correlation between ONSD and lung ultrasound estimates of extravascular lung water in severe preeclampsia.</p></sec><sec id="j_raon-2018-0047_s_007_w2aab3b7c14b1b6b1aab1c18b2Aa"><h3>Patients and methods</h3><p>Thirty patients with severe preeclampsia were included. Optic and lung ultrasound were performed within 24 hours from delivery. ONSD was measured 3 mm behind the globe. Lung ultrasound Echo Comet Score (ECS) was obtained summing B-lines (“comet tails”) in parasternal intercostal spaces bilaterally. Pearson’s correlation analysis was used to assess the relationship between ONSD and ECS (p &lt; 0.05 significant).</p></sec><sec id="j_raon-2018-0047_s_008_w2aab3b7c14b1b6b1aab1c18b3Aa"><h3>Results</h3><p>Median ONSD was 5.7 mm (range 3.8–7.5 mm). Median ECS value was 19 (range 0-24). Statistically significant correlation was found between ONSD and ECS (r<sup>2</sup> = 0.464; p &lt; 0.001).</p></sec><sec id="j_raon-2018-0047_s_009_w2aab3b7c14b1b6b1aab1c18b4Aa"><h3>Conclusions</h3><p>Significant correlation between ONSD and ECS suggests optic ultrasound could be used for assessing fluid status and guiding peripartum fluid therapy in patients with severe preeclampsia.</p></sec></abstract>

BackgroundThere are no data on usefulness of optic nerve sheath diameter (ONSD) as a marker of patient’s fluid status in preeclampsia. The objective was to examine potential correlation between ONSD and lung ultrasound estimates of extravascular lung water in severe preeclampsia.Patients and methodsThirty patients with severe preeclampsia were included. Optic and lung ultrasound were performed within 24 hours from delivery. ONSD was measured 3 mm behind the globe. Lung ultrasound Echo Comet Score (ECS) was obtained summing B-lines (“comet tails”) in parasternal intercostal spaces bilaterally. Pearson’s correlation analysis was used to assess the relationship between ONSD and ECS (p < 0.05 significant).ResultsMedian ONSD was 5.7 mm (range 3.8–7.5 mm). Median ECS value was 19 (range 0-24). Statistically significant correlation was found between ONSD and ECS (r2 = 0.464; p < 0.001).ConclusionsSignificant correlation between ONSD and ECS suggests optic ultrasound could be used for assessing fluid status and guiding peripartum fluid therapy in patients with severe preeclampsia.

Optic nerve ultrasound for fluid status assessment in patients with severe preeclampsia

Radiology and Oncology

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

BackgroundThere are no data on usefulness of optic nerve sheath diameter (ONSD) as a marker of patient’s fluid status in preeclampsia. The objective was to...

Parasternal area	Median number of B-lines	Range
2^nd intercostal space right	0	0–3
3^rd intercostal space right	2	0–6
4^th intercostal space right	4	1–4
5^th intercostal space right	3	1–7
2^nd intercostal space left	3	0–6
3^rd intercostal space left	2	0–8
4^th intercostal space left	3	0–6

Optic nerve ultrasound for fluid status assessment in patients with severe preeclampsia

Article Category: Research Article

Pubblicato online: 26 nov 2018

Pagine: 377 - 382

Ricevuto: 09 ago 2018

Accettato: 02 nov 2018

DOI: https://doi.org/10.2478/raon-2018-0047

© 2018 Gabrijela Brzan Simenc, Jana Ambrozic, Katja Prokselj, Natasa Tul, Marta Cvijic, Tomislav Mirkovic, Helmut Karl Lackner, Miha Lucovnik, published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

FIGURE 1

FIGURE 2

FIGURE 3

Median and range of B-lines in four parasternal intercostal areas on the right (from the second to the fifth intercostal space) and three parasternal intercostal areas on the left (from the second to the fourth intercostal space)