title: Use of thoracic electrical impedance tomography as an auxiliary tool for alveolar recruitment maneuvers in acute respiratory distress syndrome: case report and brief literature review.
abstract: Thoracic electrical impedance tomography is a real-time, noninvasive monitoring tool of the regional pulmonary ventilation distribution. Its bedside use in patients with acute respiratory distress syndrome has the potential to aid in alveolar recruitment maneuvers, which are often necessary in cases of refractory hypoxemia. In this case report, we describe the monitoring results and interpretation of thoracic electrical impedance tomography used during alveolar recruitment maneuvers in a patient with acute respiratory distress syndrome, with transient application of high alveolar pressures and optimal positive end-expiratory pressure titration. Furthermore, we provide a brief literature review regarding the use of alveolar recruitment maneuvers and monitoring using thoracic electrical impedance tomography in patients with acute respiratory distress syndrome.
authors.affiliation: Departamento de Medicina Intensiva, Hospital Moinhos de Vento, Porto Alegre, RS, Brazil.
authors.forename: Regis Goulart
authors.initials: RG
authors.lastname: Rosa
authors.affiliation: Departamento de Medicina Intensiva, Hospital Moinhos de Vento, Porto Alegre, RS, Brazil.
authors.forename: William
authors.initials: W
authors.lastname: Rutzen
authors.affiliation: Departamento de Medicina Intensiva, Hospital Moinhos de Vento, Porto Alegre, RS, Brazil.
authors.forename: Laura
authors.initials: L
authors.lastname: Madeira
authors.affiliation: Departamento de Medicina Intensiva, Hospital Moinhos de Vento, Porto Alegre, RS, Brazil.
authors.forename: Aline Maria
authors.initials: AM
authors.lastname: Ascoli
authors.affiliation: Departamento de Medicina Intensiva, Hospital Moinhos de Vento, Porto Alegre, RS, Brazil.
authors.forename: Felippe Leopoldo
authors.initials: FL
authors.lastname: Dexheimer Neto
authors.affiliation: Departamento de Medicina Intensiva, Hospital Moinhos de Vento, Porto Alegre, RS, Brazil.
authors.forename: Juçara Gasparetto
authors.initials: JG
authors.lastname: Maccari
authors.affiliation: Departamento de Medicina Intensiva, Hospital Moinhos de Vento, Porto Alegre, RS, Brazil.
authors.forename: Roselaine Pinheiro de
authors.initials: RP
authors.lastname: Oliveira
authors.affiliation: Departamento de Medicina Intensiva, Hospital Moinhos de Vento, Porto Alegre, RS, Brazil.
authors.forename: Cassiano
authors.initials: C
authors.lastname: Teixeira
mesh_terms: D017097:Electric Impedance; D006801:Humans; D008297:Male; D008875:Middle Aged; D011175:Positive-Pressure Respiration / Q000379:methods; D011650:Pulmonary Alveoli / Q000378:metabolism; D012128:Respiratory Distress Syndrome / Q000000981:diagnostic imaging / Q000628:therapy*; D014054:Tomography / Q000379:methods*