{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,24]],"date-time":"2026-01-24T19:45:02Z","timestamp":1769283902326,"version":"3.49.0"},"reference-count":35,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2016,10,14]],"date-time":"2016-10-14T00:00:00Z","timestamp":1476403200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100002341","name":"Suomen Akatemia","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100002341","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100008723","name":"Finnish Medical Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008723","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100005744","name":"Foundation for Pediatric Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100005744","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatric Pulmonology"],"published-print":{"date-parts":[[2017,3]]},"abstract":"<jats:title>Summary<\/jats:title><jats:sec><jats:label\/><jats:p>Background: Lung ultrasounds show vertical artifacts known as B\u2010lines in the presence of increased extravascular lung water (EVLW). We aimed to investigate whether lung ultrasound could estimate EVLW after congenital cardiac surgery. Methods: This prospective observational study comprised 61 children (age range 3 days to 7.4 years) undergoing congenital cardiac surgery. We compared postoperative B\u2010line scores from lung ultrasounds, early postoperative ultrasound as our primary interest, with corresponding postoperative chest radiography (CXR) lung edema scores, with static lung compliance, and with short\u2010term clinical outcome interpreted as time on mechanical ventilation and length of pediatric intensive care unit (PICU) stay. Results: Our findings showed lung ultrasound B\u2010line scores and CXR lung edema scores as correlating 1\u20136\u2009hr postoperatively (r<jats:sup>2<\/jats:sup>\u2009=\u20090.41, <jats:italic>P\u2009<\/jats:italic>&lt;\u20090.0001), on the first postoperative day (r<jats:sup>2<\/jats:sup>\u2009=\u20090.15, <jats:italic>P<\/jats:italic>\u2009=\u20090.004) and on the fourth postoperative day (r<jats:sup>2<\/jats:sup>\u2009=\u20090.28, <jats:italic>P<\/jats:italic>\u2009=\u20090.008). The B\u2010line score or CXR lung edema score showed no correlation with lung compliance. We found that in multivariable analyses, with length of perfusion and presence of postoperative complications as covariates, both lung ultrasound (<jats:italic>P<\/jats:italic>\u2009\u2264\u20090.02) and CXR (<jats:italic>P<\/jats:italic>\u2009\u2264\u20090.002) 1\u20136\u2009hr postoperatively predicted the length of mechanical ventilation and PICU stay. The interobserver variability was less for lung ultrasound B\u2010line score than for CXR lung edema score (<jats:italic>P<\/jats:italic>\u2009=\u20090.001). Conclusions: Our results show that lung ultrasound in assessment of postoperative EVLW predicted length of mechanical ventilation and stay in the PICU, and it had less interobserver variability than CXR. Accordingly, lung ultrasound may complement CXR in assessment of lung edema after surgery for congenital heart defect. <jats:bold>Pediatr Pulmonol. 2017;52:345\u2013352.<\/jats:bold> \u00a9 2016 Wiley Periodicals, Inc.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ppul.23531","type":"journal-article","created":{"date-parts":[[2016,10,14]],"date-time":"2016-10-14T13:57:42Z","timestamp":1476453462000},"page":"345-352","source":"Crossref","is-referenced-by-count":40,"title":["Assessment of extravascular lung water by ultrasound after congenital cardiac surgery"],"prefix":"10.1002","volume":"52","author":[{"given":"Anu K.","family":"Kaskinen","sequence":"first","affiliation":[{"name":"Divisions of Pediatric Cardiology Anesthesia and Intensive Care, and Neonatology University of Helsinki and Helsinki University Hospital, Children's Hospital Helsinki Finland"},{"name":"Department of Pediatrics P\u00e4ij\u00e4t\u2010H\u00e4me Central Hospital Lahti Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Martelius","sequence":"additional","affiliation":[{"name":"Medical Imaging Center University of Helsinki and Helsinki University Hospital, Children's Hospital Helsinki Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Turkka","family":"Kirjavainen","sequence":"additional","affiliation":[{"name":"Divisions of Pediatric Cardiology Anesthesia and Intensive Care, and Neonatology University of Helsinki and Helsinki University Hospital, Children's Hospital Helsinki Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paula","family":"Rautiainen","sequence":"additional","affiliation":[{"name":"Divisions of Pediatric Cardiology Anesthesia and Intensive Care, and Neonatology University of Helsinki and Helsinki University Hospital, Children's Hospital Helsinki Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sture","family":"Andersson","sequence":"additional","affiliation":[{"name":"Divisions of Pediatric Cardiology Anesthesia and Intensive Care, and Neonatology University of Helsinki and Helsinki University Hospital, Children's Hospital Helsinki Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Olli M.","family":"Pitk\u00e4nen","sequence":"additional","affiliation":[{"name":"Divisions of Pediatric Cardiology Anesthesia and Intensive Care, and Neonatology University of Helsinki and Helsinki University Hospital, Children's Hospital Helsinki 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