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Electrical impedance tomography for chest imaging in acute respiratory failure

Inéz Frerichs, Zhanqi Zhao
European Respiratory Journal 2019 54: 1901497; DOI: 10.1183/13993003.01497-2019
Inéz Frerichs
1Dept of Anaesthesiology and Intensive Care Medicine, University Medical Centre Schleswig-Holstein, Campus Kiel, Kiel, Germany
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  • For correspondence: frerichs@anaesthesie.uni-kiel.de
Zhanqi Zhao
2Dept of Biomedical Engineering, Fourth Military Medical University, Xi'an, China
3Institute of Technical Medicine, Furtwangen University, Villingen-Schwenningen, Germany
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Extract

Electrical impedance tomography (EIT) is a functional imaging method that can continuously monitor respiratory function at the bedside. Different measures can be generated from EIT patient examinations allowing the assessment of ventilation distribution, regional lung volume changes and respiratory mechanics, as well as lung perfusion, stroke volume or regional oxygen uptake. In a clinical setting, EIT has mainly been applied in patients undergoing mechanical ventilation as summarised in a systematic review published in 2016 [1] and the most recent international consensus statement on EIT chest imaging published in 2017 [2]. EIT has been applied: to detect regional lung overinflation, alveolar collapse and tidal recruitment, and air-leak; to assess patients' responses to changes in ventilator settings and mode, different recruitment manoeuvres or suctioning; and for setting optimum positive end-expiratory pressure. The use of EIT in critical care medicine is increasing.

Abstract

Electrical impedance tomography is a functional imaging method that can continuously monitor respiratory function of critically ill and mechanically ventilated patients at the bedside http://bit.ly/2Kt1jF5

Footnotes

  • Conflict of interest: I. Frerichs reports grants from European Union's Horizon 2020 Research and Innovation Programme (Project CRADL, grant agreement number 668259 and Project WELMO, grant agreement number 825572), personal fees for lectures and reimbursement of congress and travel costs from Dräger Medical, outside the submitted work.

  • Conflict of interest: Z. Zhao reports personal fees for consultancy from Dräger Medical, outside the submitted work.

  • Received July 27, 2019.
  • Accepted July 30, 2019.
  • Copyright ©ERS 2019
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Vol 54 Issue 4 Table of Contents
European Respiratory Journal: 54 (4)
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Electrical impedance tomography for chest imaging in acute respiratory failure
Inéz Frerichs, Zhanqi Zhao
European Respiratory Journal Oct 2019, 54 (4) 1901497; DOI: 10.1183/13993003.01497-2019

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Electrical impedance tomography for chest imaging in acute respiratory failure
Inéz Frerichs, Zhanqi Zhao
European Respiratory Journal Oct 2019, 54 (4) 1901497; DOI: 10.1183/13993003.01497-2019
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