دورية أكاديمية
Clinical value of electrical impedance tomography (EIT) in the management of patients with acute respiratory failure: a single centre experience.
| العنوان: | Clinical value of electrical impedance tomography (EIT) in the management of patients with acute respiratory failure: a single centre experience. |
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| المؤلفون: | Bronco A; Department of Emergency and Intensive Care, ASST Monza, Monza, Italy., Grassi A; Department of Anesthesiology and Pain Medicine, University of Toronto, Toronto (ON), Canada., Meroni V; Department of Emergency and Intensive Care, ASST Monza, Monza, Italy., Giovannoni C; Department of Emergency and Intensive Care, ASST Monza, Monza, Italy., Rabboni F; Department of Emergency and Intensive Care, ASST Monza, Monza, Italy., Rezoagli E; Department of Medicine and Surgery, University of Milan-Bicocca, Monza, Italy., Teggia-Droghi M; Department of Emergency and Intensive Care, ASST Monza, Monza, Italy., Foti G; Department of Emergency and Intensive Care, ASST Monza, Monza, Italy.; Department of Medicine and Surgery, University of Milan-Bicocca, Monza, Italy., Bellani G; Department of Emergency and Intensive Care, ASST Monza, Monza, Italy.; Department of Medicine and Surgery, University of Milan-Bicocca, Monza, Italy. |
| المصدر: | Physiological measurement [Physiol Meas] 2021 Jul 28; Vol. 42 (7). Date of Electronic Publication: 2021 Jul 28. |
| نوع المنشور: | Journal Article; Observational Study |
| اللغة: | English |
| بيانات الدورية: | Publisher: IOP Pub. Ltd Country of Publication: England NLM ID: 9306921 Publication Model: Electronic Cited Medium: Internet ISSN: 1361-6579 (Electronic) Linking ISSN: 09673334 NLM ISO Abbreviation: Physiol Meas Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Bristol, UK : IOP Pub. Ltd., c1993- |
| مواضيع طبية MeSH: | Positive-Pressure Respiration* , Respiratory Insufficiency*/therapy, Electric Impedance ; Humans ; Retrospective Studies ; Tomography |
| مستخلص: | Objective. We will describe our clinical experience using electrical impedance tomography (EIT) in the management of mechanical ventilation in patients with acute respiratory failure and to determine to which extent EIT-guided positive end-expiratory pressure (PEEP) setting differed from clinically set values. Approach. We conducted a retrospective, observational cohort study performed in a hub centre for the treatment of acute respiratory failure and veno-venous extracorporeal membrane oxygenation (ECMO). Main results. Between January 2017 and December 2019, EIT was performed 54 times in 41 patients, not feasible only in one case because of signal instability. More than 50% was on veno-venous ECMO support. In 16 cases (30%), EIT was used for monitoring mechanical ventilation, i.e. to evaluate recruitability or sigh setting. In 37 cases (70%), EIT was used to set PEEP both with incremental (11 cases in nine patients) and decremental (26 cases, 18 patients) PEEP trial. Clinical PEEP before the decremental PEEP trial (PEEP (© 2021 Institute of Physics and Engineering in Medicine.) |
| فهرسة مساهمة: | Keywords: Acute Respiratory Distress Syndrome; electrical impedance tomograpy; mechanical ventilation; positive end expiratory pressure |
| تواريخ الأحداث: | Date Created: 20210624 Date Completed: 20211018 Latest Revision: 20211018 |
| رمز التحديث: | 20240628 |
| DOI: | 10.1088/1361-6579/ac0e85 |
| PMID: | 34167097 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1361-6579 |
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| DOI: | 10.1088/1361-6579/ac0e85 |