Introduction: In this review, we compare the spectrum of currently availabl
e methods for quantifying pulmonary edema in patients.
Review: Imaging and indicator dilution techniques comprise the most common
strategies for measuring lung water at the bedside. The most accurate (with
in 10% of the gravimetric gold standard) and most reproducible (<5% between
-test variation) are also, unfortunately, the most expensive and most diffi
cult to implement for purposes of large-scale clinical trials or for routin
e clinical practice.
Conclusion: The standard chest radiograph remains the best screening test f
or the detection of pulmonary edema. Indicator-dilution techniques are prob
ably the best available method at present for quantitation in patient group
s.