Lung impedance measurements to monitor alveolar ventilation

Current Opinion in Critical Care

Volumn 17, Issue 3, 2011, Pages 260-267

  Moerer, Onnen ^a   Hahn, Günter ^a   Quintel, Michael ^a  

^a UNIVERSITY OF GÖTTINGEN   (Germany)

Author keywords

acute lung injury; alveolar ventilation; diagnostic imaging; electrical impedance tomography; noninvasive monitoring

Indexed keywords

ACUTE LUNG INJURY; ADULT RESPIRATORY DISTRESS SYNDROME; AIRWAY RESISTANCE; COMPUTER ASSISTED IMPEDANCE TOMOGRAPHY; DIAGNOSTIC IMAGING; HUMAN; LUNG MECHANICS; LUNG PARENCHYMA; LUNG VENTILATION; PATHOPHYSIOLOGY; POSITIVE END EXPIRATORY PRESSURE; REVIEW; TIDAL VOLUME;

ACUTE LUNG INJURY; BODY COMPOSITION; ELECTRIC IMPEDANCE; HUMANS; MONITORING, PHYSIOLOGIC; RESPIRATION, ARTIFICIAL;

EID: 79955640279     PISSN: 10705295     EISSN: 15317072     Source Type: Journal    
DOI: 10.1097/MCC.0b013e3283463c9c     Document Type: Review

References (69)

1. Costa EL, Borges JB, Melo A, et al. Bedside estimation of recruitable alveolar collapse and hyperdistension by electrical impedance tomography. Intensive Care Med 2009; 35:1132-1137.
2. Rooney D, Friese M, Fraser JF, et al. Gravity-dependent ventilation distribution in rats measured with electrical impedance tomography. Physiol Meas 2009; 30:1075-1085.
3. Hahn G, Dittmar J, Just A, et al. Different approaches for quantifying ventilation distribution and lung tissue properties by functional EIT. Physiol Meas 2010; 31:73-84.
4. Grant CA, Fraser JF, Dunster KR, Schibler A. The assessment of regional lung mechanics with electrical impedance tomography: a pilot study during recruitment manoeuvres. Intensive Care Med 2009; 35:166-170.
5. Arad M, Zlochiver S, Davidson T, et al. The detection of pleural effusion using a parametric eit technique. Physiol Meas 2009; 30:421-428.
6. Bikker IG, Leonhardt S, Reis Miranda D, et al. Bedside measurement of changes in lung impedance to monitor alveolar ventilation in dependent and nondependent parts by electrical impedance tomography during a positive end-expiratory pressure trial in mechanically ventilated intensive care unit patients. Crit Care 2010; 14:R100.
7. Denai MA, Mahfouf M, Mohamad-Samuri S, et al. Absolute electrical impedance tomography (aEIT) guided ventilation therapy in critical care patients: simulations and future trends. IEEE Trans Inf Technol Biomed 2010; 14:641-649.
8. Grychtol B, Wolf GK, Adler A, Arnold JH. Towards lung EIT image segmentation: automatic classification of lung tissue state from analysis of EIT monitored recruitment manoeuvres. Physiol Meas 2010; 31:31-43.
9. Zhao Z, Moller K, Steinmann D, et al. Evaluation of an electrical impedance tomography-based global inhomogeneity index for pulmonary ventilation distribution. Intensive Care Med 2009; 35:1900-1906.
10. Zhao Z, Steinmann D, Frerichs I, et al. Peep titration guided by ventilation homogeneity: a feasibility study using electrical impedance tomography. Crit Care 2010; 14:R8.
11. Zhao Z, Steinmann D, Muller-Zivkovic D, et al. A lung area estimation method for analysis of ventilation inhomogeneity based on electrical impedance tomography. J Xray Sci Technol 2010; 18:171-182.
12. Terragni PP, Rosboch G, Tealdi A, et al. Tidal hyperinflation during low tidal volume ventilation in acute respiratory distress syndrome. Am J Respir Crit Care Med 2007; 175:160-166. (Pubitemid 46115087)
13. Brower RG, Lanken PN, MacIntyre N, et al. Higher versus lower positive end-expiratory pressures in patients with the acute respiratory distress syndrome. N Engl J Med 2004; 351:327-336.
14. Gattinoni L, Carlesso E, Taccone P, et al. Prone positioning improves survival in severe ARDS: a pathophysiologic review and individual patient metaanalysis. Minerva Anestesiol 2010; 76:448-454.
15. Taccone P, Pesenti A, Latini R, et al. Prone positioning in patients with moderate and severe acute respiratory distress syndrome: a randomized controlled trial. JAMA 2009; 302:1977-1984.
16. Protti A, Chiumello D, Cressoni M, et al. Relationship between gas exchange response to prone position and lung recruitability during acute respiratory failure. Intensive Care Med 2009; 35:1011-1017.
17. Del Sorbo L, Slutsky AS. Ventilatory support for acute respiratory failure: new and ongoing pathophysiological, diagnostic and therapeutic developments. Curr Opin Crit Care 2010; 16:1-7.
18. Hager DN, Krishnan JA, Hayden DL, Brower RG. Tidal volume reduction in patients with acute lung injury when plateau pressures are not high. Am J Respir Crit Care Med 2005; 172:1241-1245. (Pubitemid 43076561)
19. ARDSNet. Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. The acute respiratory distress syndrome network. N Engl J Med 2000; 342:1301-1308
20. Bodenstein M, David M, Markstaller K. Principles of electrical impedance tomography and its clinical application. Crit Care Med 2009; 37:713-724.
21. Costa EL, Lima RG, Amato MB. Electrical impedance tomography. Curr Opin Crit Care 2009; 15:18-24.
22. Muders T, Luepschen H, Putensen C. Impedance tomography as a new monitoring technique. Curr Opin Crit Care 2010; 16:269-275.
23. Frerichs I, Dargaville PA, Dudykevych T, Rimensberger PC. Electrical impedance tomography: a method for monitoring regional lung aeration and tidal volume distribution? Intensive Care Med 2003; 29:2312-2316. (Pubitemid 38030686)
24. Adler A, Arnold JH, Bayford R, et al. GREIT: a unified approach to 2D linear EIT reconstruction of lung images. Physiol Meas 2009; 30:35-55.
25. Borsic A, Graham BM, Adler A, Lionheart WR. In vivo impedance imaging with total variation regularization. IEEE Trans Med Imaging 2010; 29:44-54.
26. Richard JC, Pouzot C, Gros A, et al. Electrical impedance tomography compared to positron emission tomography for the measurement of regional lung ventilation: an experimental study. Crit Care 2009; 13:R82.
27. Frerichs I, Hinz J, Herrmann P, et al. Regional lung perfusion as determined by electrical impedance tomography in comparison with electron beam CT imaging. IEEE Trans Med Imaging 2002; 21:646-652. (Pubitemid 34950083)
28. 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. (Pubitemid 38402453)
29. 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. (Pubitemid 36851368)
30. Bikker IG, Leonhardt S, Bakker J, Gommers D. Lung volume calculated from electrical impedance tomography in ICU patients at different PEEP levels. Intensive Care Med 2009; 35:1362-1367.
31. Markhorst DG, Groeneveld AB, Heethaar RM, et al. Assessing effects of PEEP and global expiratory lung volume on regional electrical impedance tomography. J Med Eng Technol 2009; 33:281-287.
32. Zhang J, Patterson R. Noninvasive determination of absolute lung resistivity in adults using electrical impedance tomography. Physiol Meas 2010; 31:45-56.
33. Hahn G, Just A, Dudykevych T, et al. Imaging pathologic pulmonary air and fluid accumulation by functional and absolute EIT. Physiol Meas 2006; 27:187-198.
34. Frerichs I, Schmitz G, Pulletz S, et al. Reproducibility of regional lung ventilation distribution determined by electrical impedance tomography during mechanical ventilation. Physiol Meas 2007; 28:261-267.
35. Reifferscheid F, Elke G, Pulletz S, et al. Regional ventilation distribution determined by electrical impedance tomography: reproducibility and effects of posture and chest plane. Respirology 2011. [Epub ahead of print]. doi: 10.1111/j.1440-1843.2011.01929.x
36. Miedema M, Frerichs I, de Jongh FH, et al. Pneumothorax in a preterm infant monitored by electrical impedance tomography: a case report. Neonatology 2010; 99:10-13.
37. Pulletz S, Elke G, Zick G, et al. Performance of electrical impedance tomography in detecting regional tidal volumes during one-lung ventilation. Acta Anaesthesiol Scand 2008; 52:1131-1139.
38. Steinmann D, Stahl CA, Minner J, et al. Electrical impedance tomography to confirm correct placement of double-lumen tube: a feasibility study. Br J Anaesth 2008; 101:411-418.
39. Preis C, Luepschen H, Leonhardt S, Gommers D. Experimental case report: development of a pneumothorax monitored by electrical impedance tomography. Clin Physiol Funct Imaging 2009; 29:159-162.
40. Gattinoni L, Caironi P. Prone positioning: beyond physiology. Anesthesiology 2010; 113:1262-1264.
41. Bein T, Ploner F, Ritzka M, et al. No change in the regional distribution of tidal volume during lateral posture in mechanically ventilated patients assessed by electrical impedance tomography. Clin Physiol Funct Imaging 2010; 30:234-240.
42. Meier T, Luepschen H, Karsten J, et al. Assessment of regional lung recruitment and derecruitment during a PEEP trial based on electrical impedance tomography. Intensive Care Med 2008; 34:543-550. (Pubitemid 351623019)
43. Wolf GK, Grychtol B, Frerichs I, et al. Regional lung volume changes during high frequency oscillatory ventilation. Pediatr Crit Care Med 2010; 11:610-615.
44. Wolf GK, Grychtol B, Boyd TK, et al. Regional overdistension identified with electrical impedance tomography in the perflubron-treated lung. Physiol Meas 2010; 31:85-95.
45. van Heerde M, Roubik K, Kopelent V, et al. Spontaneous breathing during high frequency oscillatory ventilation improves regional lung characteristics in experimental lung injury. Acta Anaesthesiol Scand 2010; 54:1248-1256.
46. Gattinoni L, Eleonora C, Caironi P. Monitoring of pulmonary mechanics in acute respiratory distress syndrome to titrate therapy. Curr Opin Crit Care 2005; 11:252-258. (Pubitemid 40835100)
47. Gattinoni L, Protti A, Caironi P, Carlesso E. Ventilator-induced lung injury: the anatomical and physiological framework. Crit Care Med 2010; 38:539-548.
48. Amato MB, Barbas CS, Medeiros DM, et al. Effect of a protective- ventilation strategy on mortality in the acute respiratory distress syndrome. N Engl J Med 1998; 338:347-354. (Pubitemid 28083906)
49. Grasso S, Terragni P, Mascia L, et al. Airway pressure-time curve profile (stress index) detects tidal recruitment/hyperinflation in experimental acute lung injury. Crit Care Med 2004; 32:1018-1027. (Pubitemid 38471525)
50. Albaiceta GM, Luyando LH, Parra D, et al. Inspiratory vs. expiratory pressure-volume curves to set end-expiratory pressure in acute lung injury. Intensive Care Med 2005; 31:1370-1378. (Pubitemid 41437730)
51. Hinz J, Gehoff A, Moerer O, et al. Regional filling characteristics of the lungs in mechanically ventilated patients with acute lung injury. Eur J Anaesthesiol 2007; 24:414-424. (Pubitemid 46682419)
52. van Veenendaal MB, Miedema M, de Jongh FH, et al. Effect of closed endotracheal suction in high-frequency ventilated premature infants measured with electrical impedance tomography. Intensive Care Med 2009; 35:2130-2134.
53. Tingay DG, Copnell B, Grant CA, et al. The effect of endotracheal suction on regional tidal ventilation and end-expiratory lung volume. Intensive Care Med 2010; 36:888-896.
54. Kneyber MC, van Heerde M, Twisk JW, et al. Heliox reduces respiratory system resistance in respiratory syncytial virus induced respiratoryfailure. Crit Care 2009; 13:R71.
55. Lowhagen K, Lindgren S, Odenstedt H, et al. A new nonradiological method to assess potential lung recruitability: a pilot study in ALI patients. Acta Anaesthesiol Scand 2011; 55:165-174.
56. Hinz J, Moerer O, Neumann P, et al. Regional pulmonary pressure volume curves in mechanically ventilated patients with acute respiratory failure measured by electrical impedance tomography. Acta Anaesthesiol Scand 2006; 50:331-339.
57. Caironi P, Cressoni M, Chiumello D, et al. Lung opening and closing during ventilation of acute respiratory distress syndrome. Am J Respir Crit Care Med 2010; 181:578-586.
58. Grychtol B, Wolf G, Arnold JH. Differences in regional pulmonary pressure-impedance curves before and after lung injury assessed with a novel algorithm. Physiol Meas 2009; 30:137-148.
59. Dargaville PA, Rimensberger PC, Frerichs I. Regional tidal ventilation and compliance during a stepwise vital capacity manoeuvre. Intensive Care Med 2010; 36:1953-1961.
60. Kuhnel G, Hahn G, Frerichs I, et al. New methods for improving the image quality of functional electric impedance tomography. Biomed Tech (Berl) 1997; 42 (Suppl):470-471.
61. Milic-Emili J, Henderson JA, Dolovich MB, et al. Regional distribution of inspired gas in the lung. J Appl Physiol 1966; 21:749-759.
62. Kaneko K, Milic-Emili J, Dolovich MB, et al. Regional distribution of ventilation and perfusion as a function of body position. J Appl Physiol 1966; 21:767-777.
63. Frerichs I, Dudykevych T, Hinz J, et al. Gravity effects on regional lung ventilation determined by functional EIT during parabolic flights. J Appl Physiol 2001; 91:39-50. (Pubitemid 32574706)
64. Schibler A, Yuill M, Parsley C, et al. Regional ventilation distribution in nonsedated spontaneously breathing newborns and adults is not different. Pediatr Pulmonol 2009; 44:851-858.
65. Pham TM, Yuill M, Dakin C, Schibler A. Regional ventilation distribution in the first six months of life. Eur Respir J 2010. [Epub ahead of print]. doi: 10.1183/09031936.00034310.
66. Wrigge H, Zinserling J, Muders T, et al. Electrical impedance tomography compared with thoracic computed tomography during a slow inflation maneuver in experimental models of lung injury. Crit Care Med 2008; 36:903-909.
67. Muders T, Wrigge H, Zinserling J, et al. Peep optimizing using electric impedance tomography in porcine lung injury. Intensive Care Med 2008; 34 (Suppl. 1):107.
68. Wrigge H, Muders T, Zinserling J, et al. Measurement of regional ventilation inhomogenity by electric impedance tomography. Am J Respir Crit Care Med 2009; 179:A1610.
69. Muders T, Zinserling J, Meier T, et al. Influence of different peep setting strategies on ventilation/perfusion matching in porcine ALI. Am J Respir Crit Care Med 2009; 179:A4673.