الفهرس 
The use of lung ultrasound to assess effects of fluid loading in acute respiratory distress syndrome and shock in need of fluid resuscitation
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Abstract
Background: increased capillary permeability in acute respiratory distress syndrome (ARDS) may worsen pulmonary edema during fluid resuscitation in shocked patients who need optimization of cardiac preload. Aim of the work: In this study, we tried to identify the early effects of fluid loading on lung aeration and oxygenation, monitoring effects by lung ultrasound, arterial blood gases and impedance cardiography (ICON) on patients with acute respiratory distress syndrome (ARDS) and septic shock. Subjects and methods: Patients were further divided according to acute respiratory distress syndrome (ARDS) and shock into two different groups: group 1(Study group): 31 patients with ARDS and shocked (Septic shock) group 2(Control group): 15 patients with chest infection(pneumonia) but not ARDS nor shocked. Results: This study found that early fluid loading can worsen lung aeration detected by lung ultrasound without detrimental effect on oxygenation as expected but even can improve oxygenation