Effects of tracheal intubation and tracheal tube position on regional lung ventilation: an observational study

Anaesthesia ◽  
2020 ◽  
Vol 75 (3) ◽  
pp. 359-365
Author(s):  
A. B. Lumb ◽  
L. Savic ◽  
M. R. Horsford ◽  
S. R. Hodgson
2013 ◽  
Vol 39 (6) ◽  
pp. 742-746 ◽  
Author(s):  
Liégina Silveira Marinho ◽  
Nathalia Parente de Sousa ◽  
Carlos Augusto Barbosa da Silveira Barros ◽  
Marcelo Silveira Matias ◽  
Luana Torres Monteiro ◽  
...  

Bronchial stenosis can impair regional lung ventilation by causing abnormal, asymmetric airflow limitation. Electrical impedance tomography (EIT) is an imaging technique that allows the assessment of regional lung ventilation and therefore complements the functional assessment of the lungs. We report the case of a patient with left unilateral bronchial stenosis and a history of tuberculosis, in whom regional lung ventilation was assessed by EIT. The EIT results were compared with those obtained by ventilation/perfusion radionuclide imaging. The patient was using nasal continuous positive airway pressure (CPAP) for the treatment of obstructive sleep apnea syndrome. Therefore, we studied the effects of postural changes and of the use of nasal CPAP. The EIT revealed heterogeneous distribution of regional lung ventilation, the ventilation being higher in the right lung, and this distribution was influenced by postural changes and CPAP use. The EIT assessment of regional lung ventilation produced results similar to those obtained with the radionuclide imaging technique and had the advantage of providing a dynamic evaluation without radiation exposure.


1999 ◽  
Vol 20 (9) ◽  
pp. 815-822 ◽  
Author(s):  
B. TUCKER ◽  
S. JENKINS ◽  
D. CHEONG ◽  
P. ROBINSON

2013 ◽  
Vol 189 (3) ◽  
pp. 558-564 ◽  
Author(s):  
M. Ax ◽  
L.L. Karlsson ◽  
A. Sanchez-Crespo ◽  
S.G.E. Lindahl ◽  
D. Linnarsson ◽  
...  

2020 ◽  
Vol 13 (4) ◽  
pp. 489-494 ◽  
Author(s):  
Friedrich Reiterer ◽  
Julia Auinger ◽  
Bernd Urlesberger

BACKGROUND: Non-invasive, radiation free bedside monitoring methods have gained increased popularity in the respiratory field. The aim of our study was to report the experience with electrical impedance segmentography (EIS), a rather new technique, which allows continuous visual and quantitative monitoring of regional lung ventilation. METHODS: Prospective, pilot trial in spontaneously breathing, healthy, non-sedated term neonates between 24 and 72 hours post-delivery using a commercially available EIS-device. Systematic review of the literature. RESULTS: A total of 12 neonates were eligible for complete data analysis in our study. EIS was found to be a safe and easy to perform method. The median duration of the study time was 25 minutes (16–40). Individual total and regional impedance values, given in arbitrary units and it's percentage of distribution in the upper and lower right and left lung segments (UR, UL, LR, LL), were variable (median total impedance 207 arbitrary units (AU), UR% 17, LR 27%,UL 28%, LL 23%). A number of influencing factors such as body movements, sucking, jawing, and electrode issues have to be considered for correct data interpretation. The literature search revealed two small experimental studies in neonatal piglets and two human studies (one study in preschool children with bronchopulmonary dysplasia and one case report in a neonate with respiratory distress). CONCLUSIONS: EIS is an innovative technique and a potentially useful tool in studying regional lung ventilation in research and clinical care.


2007 ◽  
Vol 21 (1) ◽  
pp. 109-120 ◽  
Author(s):  
Rie Tanaka ◽  
Shigeru Sanada ◽  
Nobuo Okazaki ◽  
Takeshi Kobayashi ◽  
Masayuki Suzuki ◽  
...  

2001 ◽  
Vol 27 (8) ◽  
pp. 1385-1394 ◽  
Author(s):  
I. Frerichs ◽  
H. Schiffmann ◽  
G. Hahn ◽  
G. Hellige

Radiology ◽  
2018 ◽  
Vol 286 (3) ◽  
pp. 1040-1051 ◽  
Author(s):  
Marcel Gutberlet ◽  
Till F. Kaireit ◽  
Andreas Voskrebenzev ◽  
Florian Lasch ◽  
Julia Freise ◽  
...  

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