Chest
Volume 125, Issue 3, March 2004, Page 1166
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Communications to the Editor
Better Characterization of Acute Lung Injury/ARDS Using Lung Water

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To the Editor

We read with interest the study by Sakka et al (December 2002)1 demonstrating the prognostic value of extravascular lung water (EVLW) in critically ill patients, and we would like to emphasize another potential clinical value of this parameter. In patients with pulmonary edema (defined as EVLW > 7 mL/kg), fluid restriction/depletion has been shown to improve outcome.2 However, in patients with acute lung injury (ALI)/ARDS, the effectiveness of such a fluid-conservative approach remains a

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