Spontaneous breathing trials after prolonged mechanical ventilation monitored by electrical impedance tomography: an observational study

2017 ◽  
Vol 61 (9) ◽  
pp. 1166-1175 ◽  
Author(s):  
Z. Zhao ◽  
S.-Y. Peng ◽  
M.-Y. Chang ◽  
Y.-L. Hsu ◽  
I. Frerichs ◽  
...  
Keyword(s):  
Mechanical Ventilation ◽  
Observational Study ◽  
Electrical Impedance Tomography ◽  
Spontaneous Breathing ◽  
Electrical Impedance ◽  
Prolonged Mechanical Ventilation ◽  
Impedance Tomography ◽  
Spontaneous Breathing Trials

scholarly journals Determination of respiratory gas flow by electrical impedance tomography in an animal model of mechanical ventilation

2014 ◽  
Vol 14 (1) ◽  
Author(s):  
Marc Bodenstein ◽  
Stefan Boehme ◽  
Stephan Bierschock ◽  
Andreas Vogt ◽  
Matthias David ◽  
...  
Keyword(s):  
Mechanical Ventilation ◽  
Animal Model ◽  
Electrical Impedance Tomography ◽  
Gas Flow ◽  
Electrical Impedance ◽  
Impedance Tomography

scholarly journals Evaluation of Regional Pulmonary Ventilation in Spontaneously Breathing Patients with Idiopathic Pulmonary Fibrosis (IPF) Employing Electrical Impedance Tomography (EIT): A Pilot Study from the European IPF Registry (eurIPFreg)

2021 ◽  
Vol 10 (2) ◽  
pp. 192
Author(s):  
Ekaterina Krauss ◽  
Daniel van der Beck ◽  
Isabel Schmalz ◽  
Jochen Wilhelm ◽  
Silke Tello ◽  
...  
Keyword(s):  
Idiopathic Pulmonary Fibrosis ◽  
Pulmonary Fibrosis ◽  
Electrical Impedance Tomography ◽  
Spontaneous Breathing ◽  
Electrical Impedance ◽  
Statistical Significance ◽  
Pulmonary Ventilation ◽  
Healthy Controls ◽  
Impedance Tomography ◽  
Spontaneously Breathing

Objectives: In idiopathic pulmonary fibrosis (IPF), alterations in the pulmonary surfactant system result in an increased alveolar surface tension and favor repetitive alveolar collapse. This study aimed to assess the usefulness of electrical impedance tomography (EIT) in characterization of regional ventilation in IPF. Materials and methods: We investigated 17 patients with IPF and 15 healthy controls from the University of Giessen and Marburg Lung Center (UGMLC), Germany, for differences in the following EIT parameters: distribution of ventilation (TID), global inhomogeneity index (GI), regional impedance differences through the delta of end-expiratory lung impedance (dEELI), differences in surface of ventilated area (SURF), as well as center of ventilation (CG) and intratidal gas distribution (ITV). These parameters were assessed under spontaneous breathing and following a predefined escalation protocol of the positive end-expiratory pressure (PEEP), applied through a face mask by an intensive care respirator (EVITA, Draeger, Germany). Results: Individual slopes of dEELI over the PEEP increment protocol were found to be highly significantly increased in both groups (p < 0.001) but were not found to be significantly different between groups. Similarly, dTID slopes were increasing in response to PEEP, but this did not reach statistical significance within or between groups. Individual breathing patterns were very heterogeneous. There were no relevant differences of SURF, GI or CGVD over the PEEP escalation range. A correlation of dEELI to FVC, BMI, age, or weight did not forward significant results. Conclusions: In this study, we did see a significant increase in dEELI and a non-significant increase in dTID in IPF patients as well as in healthy controls in response to an increase of PEEP under spontaneous breathing. We propose the combined measurements of EIT and lung function to assess regional lung ventilation in spontaneously breathing subjects.

Sign in / Sign up

Export Citation Format

Share Document