Effect of positive end-expiratory-pressure on regional ventilation in patients with acute lung injury evaluated by electrical impedance tomography

European Journal of Anaesthesiology

Volumn 22, Issue 11, 2005, Pages 817-825

  Hinz, J ^a   Moerer, O ^a   Neumann, P ^a   Dudykevych, T ^a   Hellige, G ^a   Quintel, M ^a  

^a UNIVERSITY OF GÖTTINGEN   (Germany)

Author keywords

Thoracic electrical impedance tomography, regional ventilation, positive end expiratory pressure

Indexed keywords

ACUTE LUNG INJURY; ADULT; AGED; ARTICLE; ARTIFICIAL VENTILATION; ATELECTASIS; CLINICAL ARTICLE; COMPUTER ASSISTED IMPEDANCE TOMOGRAPHY; CONTROLLED STUDY; HUMAN; LUNG VENTILATION; MEDIASTINUM; POSITIVE END EXPIRATORY PRESSURE; THORAX; THORAX WALL;

ACUTE DISEASE; ADULT; AGED; ELECTRIC IMPEDANCE; HUMANS; LUNG DISEASES; LUNG VOLUME MEASUREMENTS; MIDDLE AGED; POSITIVE-PRESSURE RESPIRATION; RESPIRATORY MECHANICS; TOMOGRAPHY;

EID: 28444489320     PISSN: 02650215     EISSN: 02650215     Source Type: Journal    
DOI: 10.1017/S0265021505001377     Document Type: Article

References (47)

1. Poulton EP. Left sided heart failure with pulmonary edema. Its treatment with the 'pulmonary plus pressure machine'. Lancet 1936; 2: 981-994.
2. Ashbaugh DG, Petty TL, Bigelow DB, Harris TM. Continuous positive-pressure breathing (CPPB) in adult respiratory distress syndrome. J Thorac Cardiovasc Surg 1969; 57: 31-41.
3. Mancebo J. PEEP, ARDS, and alveolar recruitment. Intens Care Med 1992; 18: 383-385.
4. Suter PM, Fairley B, Isenberg MD. Optimum end-expiratory airway pressure in patients with acute pulmonary failure. New Engl J Med 1975; 292: 284-289.
5. Dammann JF, McAslan TC. PEEP: its use in young patients with apparently normal lungs. Crit Care Med 1979; 7: 14-19.
6. Kumar A, Falke KJ, Geffin B et al. Continuous positive-pressure ventilation in acute respiratory failure. New Engl J Med 1970; 283: 1430-1436.
7. Chapin JC, Downs JB, Douglas ME et al. Lung expansion, airway pressure transmission, and positive end-expiratory pressure. Arch Surg 1979; 114: 1193-1197.
8. Moreci AP, Norman JC. Measurements of alveolar sac diameters by incident-light photomicrography. Effects of positive-pressure respiration. Ann Thorac Surg 1973; 15: 179-186.
9. McIntyre RW, Laws AK, Ramachandran PR. Positive expiratory pressure plateau: improved gas exchange during mechanical ventilation. Can Anaesth Soc J 1969; 16: 477-486.
10. Katz JA, Ozanne GM, Zinn SE, Fairley HB. Time course and mechanisms of lung-volume increase with PEEP in acute pulmonary failure. Anesthesiology 1981; 54: 9-16.
11. Dreyfuss D, Saumon G. Ventilator-induced lung injury: lessons from experimental studies. Am J Respir Crit Care Med 1998; 157: 294-323.
12. Gattinoni L, Pelosi P, Crotti S, Valenza F. Effects of positive end-expiratory pressure on regional distribution of tidal volume and recruitment in adult respiratory distress syndrome. Am J Respir Crit Care Med 1995; 151: 1807-1814.
13. Puybasset L, Gusman P, Muller JC et al. Regional distribution of gas and tissue in acute respiratory distress syndrome. III. Consequences for the effects of positive end-expiratory pressure. CT Scan ARDS Study Group. Adult Respiratory Distress Syndrome. Intern Care Med 2000; 26: 1215-1227.
14. Rouby JJ, Lu Q, Goldstein I. Selecting the right level of positive end-expiratory pressure in patients with acute respiratory distress syndrome. Am J Respir Crit Care Med 2002; 165: 1182-1186.
15. Barber DC, Brown BH. Applied potential tomography. J Phys E Sci Instrum 1984; 17: 723-733.
16. Victorino JA, Borges JB, Okamoto VN et al. Imbalances in regional lung ventilation: a validation study on electrical impedance tomography. Am J Respir Crit Care Med 2004; 169: 791-800.
17. Adler A, Shinozuka N, Berthiaume Y et al. Electrical impedance tomography can monitor dynamic hyperinflation in dogs. J Appl Physiol 1998; 84: 726-732.
18. Adler A, Amyot R, Guardo R et al. Monitoring changes in lung air and liquid volumes with electrical impedance tomography. J Appl Physiol 1997; 83: 1762-1767.
19. Kunst PW, Bohm SH, de Vazquez A et al. Regional pressure volume curves by electrical impedance tomography in a model of acute lung injury. Crit Care Med 2000; 28: 178-183.
20. Kunst PW, de Vazquez A, Bohm SH et al. Monitoring of recruitment and derecruitment by electrical impedance tomography in a model of acute lung injury. Crit Care Med 2000; 28: 3891-3895.
21. Darling RC, Richards DW, Cournant A. Studies on intrapulmonary mixture of gases. Open circuit method for measuring residual air. J Clin Invest 1940; 19: 609-618.
22. Wrigge H, Sydow M, Zinserling J et al. Determination of functional residual capacity (FRC) by multibreath nitrogen washout in a lung model and in mechanically ventilated patients. Accuracy depends on continuous dynamic compensation for changes of gas sampling delay time. Intern Care Med 1998; 24: 487-493.
23. Barber DC, Seagar AD. Fast reconstruction of resistance images. Clin Phys Physiol Meas 1987; 8(Suppl A): 47-54.
24. Frerichs I, Hinz J, Herrmann P et al. Detection of local lung air content by electrical impedance tomography compared with electron beam CT. J Appl Physiol 2002; 93: 660-666.
25. Hahn G, Sipinkova I, Baisch F, Hellige G. Changes in the thoracic impedance distribution under different ventilatory conditions. Physiol Meas 1995; 16: A161-A173.
26. Frerichs I. Electrical impedance tomography (EIT) in applications related to lung and ventilation: a review of experimental and clinical activities. Physiol Meas 2000; 21: R1-R21.
27. Hinz J, Neumann P, Dudykevych T et al. Regional ventilation by electrical impedance tomography - a comparison with ventilation scintigraphy in pigs. Chest 2003, 124: 314-322.
28. Arnold JH. Electrical impedance tomography: on the path to the holy grail. Crit Care Med 2004; 32: 894-895.
29. Hinz J, Hahn G, Neumann P et al. End-expiratory lung impedance change enables bedside monitoring of end-expiratory lung volume change. Intens Care Med 2003; 29: 37-43.
30. Wolf GK, Arnold JH. Noninvasive assessment of lung volume: respiratory inductance plethysmography and electrical impedance tomography. Crit Care Med 2005; 33: S163-S169.
31. Frerichs I, Schiffmann H, Oehler R et al. Distribution of lung ventilation in spontaneously breathing neonates lying in different body positions. Intens Care Med 2003; 29: 787-794.
32. Hahn G, Hartung C, Hellige G (1998) Bestimmung der Grösse minimal erfassbarer Areale mit Ventilationsstörungen. p. 77
33. Brown BH, Barber DC. Electrical impedance tomography: the construction and application to physiological measurement of electrical impedance images. Med Prog Technol 1987; 13: 69-75.
34. Koukourlis CS, Kyriacou GA, Sahalos JN. A 32-electrode data collection system for electrical impedance tomography. IEEE Trans Biomed Eng 1995; 42: 632-636.
35. Li JH, Joppek C, Faust U. Fast EIT data acquisition system with active electrodes and its application to cardiac imaging. Physiol Meas 1996; 17(Suppl 4A): A25-A32.
36. Weisser G, Lehmann KJ, Scheck R et al. Performance of electron-beam CT: continuous-volume-scan compared to spiral CT. Radiologe 1998; 38: 993-998.
37. Weisser G, Lehmann KJ, Scheck R et al. Dose and image quality of electron-beam CT compared with spiral CT Invest Radiol 1999; 34: 415-420.
38. Burch WM, Sullivan PJ, Lomas FE et al. Lung ventilation studies with technetium-99 m pseudogas. J Nucl Med 1986; 27: 842-846.
39. Wrigge H, Zinserling J, Neumann P et al. Spontaneous breathing improves lung aeration in oleic acid-induced lung injury. Anesthesiology 2003; 99: 376-384.
40. Faes TJ, van der Meij HA, de Munck JC, Heethaar RM. The electric resistivity of human tissues (100 Hz-10 MHz): a meta-analysis of review studies. Physiol Meas 1999; 20: R1-R10.
41. Wtorek J, Polinski A. The contribution of blood-flow-induced conductivity changes to measured impedance. IEEE Trans Biomed Eng 2005; 52: 41-49.
42. Hahn G, Frerichs I, Kleyer M, Hellige G. Local mechanics of the lung tissue determined by functional EIT. Physiol Meas 1996; 17(Suppl 4A): A159-A166.
43. Hahn G, Thiel F, Dudykevych T et al. Quantitative evaluation of the performance of different electrical tomography devices. Biomed Tech (Berlin) 2001; 4: 91-95.
44. Lim CM, Soon LS, Seoung LJ et al. Morphometric effects of the recruitment manoeuvre on saline-lavaged canine lungs. A computed tomographic analysis. Anesthesiology 2003; 99: 71-80.
45. Hedenstierna G, Strandberg A, Brismar B et al. Functional residual capacity, thoracoabdominal dimensions, and central blood volume during general anesthesia with muscle paralysis and mechanical ventilation. Anesthesiology 1985; 62: 247-254.
46. Gattinoni L, D'Andrea L, Pelosi P et al. Regional effects and mechanism of positive end-expiratory pressure in early adult respiratory distress syndrome. JAMA 1993; 269: 2122-2127.
47. Frerichs I, Hahn G, Golisch W et al. Monitoring perioperative changes in distribution of pulmonary ventilation by functional electrical impedance tomography. Acta Anaesthesiol Scand 1998; 42: 721-726.