Influence of crystalloid and colloid fluid infusion and blood withdrawal on pulmonary bioimpedance in an animal model of mechanical ventilation.
Electrical impedance tomography (EIT) is considered useful for monitoring regional ventilation and aeration in intensive-care patients during mechanical ventilation. Changes in their body fluid state modify the electrical properties of lung tissue and may interfere with the EIT measurements of lung aeration. The aim of our study was to assess the effects of crystalloid and colloid infusion and blood withdrawal on bioimpedance determined by EIT in a chest cross-section. Fourteen anaesthetized mechanically ventilated pigs were subjected to interventions affecting the volume state (crystalloid and colloid infusion, blood withdrawal). Six animals received additional crystalloid fluids (fluid group) whereas eight did not (no-fluid group). Global and regional relative impedance changes (RIC, dimensionless unit) were determined by backprojection at end-expiration. Regional ventilation distribution was analyzed by calculating the tidal RIC in the same regions. Colloid infusion led to a significant fall in the global end-expiratory RIC (mean differences: fluid: -91.2, p < 0.001, no-fluid: -38.9, p < 0.001), which was partially reversed after blood withdrawal (mean differences, fluid: +45.1, p = 0.047 and no-fluid: +26.2, p = 0.009). The RIC was significantly lower in the animals with additional crystalloids (mean group difference: 45.5, p < 0.001). Global and regional tidal volumes were not significantly affected by the fluid and volume states.
Department of Anaesthesiology, University Medical Centre, 55101 Mainz, Germany. marc-bodenstein@gmx.de
Marc
M
Bodenstein
Hemei
H
Wang
Stefan
S
Boehme
Andreas
A
Vogt
Robert
R
Kwiecien
Matthias
M
David
Klaus
K
Markstaller
D000818:Animals; D001800:Blood Specimen Collection; D003102:Colloids / Q000008:administration & dosage / Q000494:pharmacology*; D000077324:Crystalloid Solutions; D017097:Electric Impedance; D023381:Endpoint Determination; D006334:Heart Function Tests; D007262:Infusions, Intravenous; D007552:Isotonic Solutions / Q000008:administration & dosage / Q000494:pharmacology*; D008168:Lung / Q000187:drug effects* / Q000502:physiology*; D023421:Models, Animal; D012121:Respiration, Artificial / Q000379:methods*; D034421:Sus scrofa / Q000502:physiology*; D013990:Tidal Volume / Q000187:drug effects
D003102:Colloids; D000077324:Crystalloid Solutions; D007552:Isotonic Solutions