Assessment of regional ventilation in acute respiratory distress syndrome by electrical impedance tomography.
Mechanical ventilation in acute respiratory distress syndrome (ARDS) incurs a risk of ventilator-associated lung injury (VALI) from inhomogeneous conditions and different properties of dependent and non-dependent lung regions at risk of atelectasis and overdistension, respectively. Electrical impedance tomography (EIT) offers regional ventilation assessment to optimise treatment with mechanical ventilation. This article provides an overview of scientific literature on the application of impedance tomography in acute respiratory distress syndrome. It also presents the results of EIT studies in different clinical situations that may be of use in implementing impedance tomography for treating ARDS.
Department of Anaesthesiology and Intensive Therapy, Medical University in Łódź, Poland. mic.str@gmail.com.
Michał
M
Stankiewicz-Rudnicki
Tomasz
T
Gaszyński
Wojciech
W
Gaszyński
D000818:Animals; D017097:Electric Impedance; D006801:Humans; D001261:Pulmonary Atelectasis / Q000209:etiology; D012121:Respiration, Artificial / Q000009:adverse effects / Q000379:methods*; D012128:Respiratory Distress Syndrome / Q000628:therapy*; D014054:Tomography / Q000379:methods*; D055397:Ventilator-Induced Lung Injury / Q000517:prevention & control