Effect of PEEP on regional ventilation during laparoscopic surgery monitored by electrical impedance tomography

Acta Anaesthesiologica Scandinavica

Volumn 55, Issue 7, 2011, Pages 878-886

  Karsten, J ^a   Luepschen, H ^b   Grossherr, M ^a   Bruch, H P ^a   Leonhardt, S ^c   Gehring, H ^a   Meier, Torsten ^a  

^a UNIVERSITY OF LÜBECK   (Germany)

^b UNIVERSITY OF BONN   (Germany)

^c RWTH AACHEN UNIVERSITY   (Germany)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; ANESTHESIA INDUCTION; ARTICLE; CHOLECYSTECTOMY; CLINICAL ARTICLE; COMPUTER ASSISTED IMPEDANCE TOMOGRAPHY; FEMALE; GASTROINTESTINAL RADIOGRAPHY; GENERAL ANESTHESIA; HUMAN; LAPAROSCOPIC SURGERY; LUNG COMPLIANCE; LUNG VENTILATION; MALE; OXYGENATION; POSITIVE END EXPIRATORY PRESSURE; PRIORITY JOURNAL;

ADOLESCENT; ADULT; AGED; ANESTHESIA, GENERAL; BLOOD GAS ANALYSIS; DATA INTERPRETATION, STATISTICAL; ELECTRIC IMPEDANCE; FEMALE; HUMANS; LAPAROSCOPY; LUNG COMPLIANCE; MALE; MIDDLE AGED; MONITORING, INTRAOPERATIVE; PNEUMOPERITONEUM, ARTIFICIAL; POSITIVE-PRESSURE RESPIRATION; RESPIRATION, ARTIFICIAL; TOMOGRAPHY; YOUNG ADULT;

EID: 79960357037     PISSN: 00015172     EISSN: 13996576     Source Type: Journal    
DOI: 10.1111/j.1399-6576.2011.02467.x     Document Type: Article

References (29)

1. Bendixen HH, Hedley-Whyte J, Laver MB., Impaired oxygenation in surgical patients during general anesthesia with controlled ventilation. A concept of atelectasis. N Engl J Med 1963; 269: 991-6.
2. Brismar B, Hedenstierna G, Lundquist H, Strandberg A, Svensson L, Tokics L., Pulmonary densities during anesthesia with muscular relaxation-a proposal of atelectasis. Anesthesiology 1985; 62: 422-8. (Pubitemid 15111323)
3. Hedenstierna G, Tokics L, Strandberg A, Lundquist H, Brismar B., Correlation of gas exchange impairment to development of atelectasis during anaesthesia and muscle paralysis. Acta Anaesthesiol Scand 1986; 30: 183-91. (Pubitemid 16162630)
4. Andersson LE, Baath M, Thorne A, Aspelin P, Odeberg-Wernerman S., Effect of carbon dioxide pneumoperitoneum on development of atelectasis during anesthesia, examined by spiral computed tomography. Anesthesiology 2005; 102: 293-9. (Pubitemid 40192575)
5. Rothen HU, Neumann P, Berglund JE, Valtysson J, Magnusson A, Hedenstierna G., Dynamics of re-expansion of atelectasis during general anaesthesia. Br J Anaesth 1999; 82: 551-66.
6. Tusman G, Bohm SH, Suarez-Sipmann F, Turchetto E., Alveolar recruitment improves ventilatory efficiency of the lungs during anesthesia. Can J Anaesth 2004; 51: 723-7. (Pubitemid 39419648)
7. Meier T, Luepschen H, Karsten J, Leibecke T, Grossherr M, Gehring H, Leonhardt S., Assessment of regional lung recruitment and derecruitment during a PEEP trial based on electrical impedance tomography. Intensive Care Med 2008; 34: 543-50. (Pubitemid 351623019)
8. Frerichs I, Hahn G, Golisch W, Kurpitz M, Burchardi H, Hellige G., Monitoring perioperative changes in distribution of pulmonary ventilation by functional electrical impedance tomography. Acta Anaesthesiol Scand 1998; 42: 721-6. (Pubitemid 28298648)
9. Frerichs I, Hahn G, Hellige G., Thoracic electrical impedance tomographic measurements during volume controlled ventilation-effects of tidal volume and positive end-expiratory pressure. IEEE Trans Med Imaging 1999; 18: 764-73. (Pubitemid 30519195)
10. Brown BH., Electrical impedance tomography (EIT): a review. J Med Eng Technol 2003; 27: 97-108.
11. Frerichs I, Hinz J, Herrmann P, Weisser G, Hahn G, Dudykevych T, Quintel M, Hellige G., Detection of local lung air content by electrical impedance tomography compared with electron beam CT. J Appl Physiol 2002; 93: 660-6. (Pubitemid 34810231)
12. Lionheart WR., EIT reconstruction algorithms: pitfalls, challenges and recent developments. Physiol Meas 2004; 25: 125-42.
13. Luepschen H, Meier T, Grossherr M, Leibecke T, Karsten J, Leonhardt S., Protective ventilation using electrical impedance tomography. Physiol Meas 2007; 28: 247-60.
14. Reinius H, Jonsson L, Gustafsson S, Sundbom M, Duvernoy O, Pelosi P, Hedenstierna G, Fredén F., Prevention of atelectasis in morbidly obese patients during general anesthesia and paralysis: a computerized tomography study. Anesthesiology 2009; 111: 979-87.
15. Lindberg P, Gunnarsson L, Tokics L, Secher E, Lundquist H, Brismar B, Hedenstierna G., Atelectasis and lung function in the postoperative period. Acta Anaesthesiol Scand 1992; 36: 546-53.
16. Hachenberg T, Lundquist H, Tokics L, Brismar B, Hedenstierna G., Analysis of lung density by computed tomography before and during general anaesthesia. Acta Anaesthesiol Scand 1993; 37: 549-55. (Pubitemid 23223866)
17. Victorino JA, Borges JB, Okamoto VN, Matos GF, Tucci MR, Caramez MP, Tanaka H, Sipmann FS, Santos DC, Barbas CS, Carvalho CR, Amato MB., Imbalances in regional lung ventilation: a validation study on electrical impedance tomography. Am J Respir Crit Care Med 2004; 169: 791-800.
18. Meier T, Leibecke T, Eckmann C, Gosch UW, Grossherr M, Bruch HP, Gehring H, Leonhardt S., Electrical impedance tomography: changes in distribution of pulmonary ventilation during laparoscopic surgery in a porcine model. Langenbecks Arch Surg 2006; 391: 383-89.
19. Froese AB., Gravity, the belly, and the diaphragm: you can't ignore physics. Anesthesiology 2006; 104: 193-6.
20. Pelosi P, Croci M, Ravagnan I, Cerisara M, Vicardi P, Lissoni A, Gattinoni L., Respiratory system mechanics in sedated, paralyzed, morbidly obese patients. J Appl Physiol 1997; 82: 811-8. (Pubitemid 27123260)
21. Pelosi P, Foti G, Cereda M, Vicardi P, Gattinoni L., Effects of carbon dioxide insufflation for laparoscopic cholecystectomy on the respiratory system. Anaesthesia 1996; 51: 744-9. (Pubitemid 26278473)
22. Andersson L, Lagerstrand L, Thorne A, Sollevi A, Brodin LA, Odeberg-Wernerman S., Effect of CO(2) pneumoperitoneum on ventilation-perfusion relationships during laparoscopic cholecystectomy. Acta Anaesthesiol Scand 2002; 46: 552-60. (Pubitemid 34552240)
23. Hedenstierna G., Ventilation-perfusion relationship during anaesthesia. Thorax 1995; 50: 85-91.
24. Pelosi P, Ravagnan I, Giurati G, Panigada M, Bottino N, Tredici S, Eccher G, Gattinoni L., Positive end-expiratory pressure improves respiratory function in obese but not in normal subjects during anesthesia and paralysis. Anesthesiology 1999; 91: 1221-31. (Pubitemid 29506082)
25. Tusman G, Böhm SH., Prevention and reveral of lung collapse during the intra-operative period. Best Pract Res Clin Anaesthesiol 2010; 24: 183-97.
26. Erlandsson K, Odenstedt H, Lundin S, Stenqvist O., Positive end-expiratory pressure optimization using electric impedance tomography in morbidly obese patients during laparoscopic gastric bypass surgery. Acta Anaesthesiol Scand 2006; 50: 833-9. (Pubitemid 44034234)
27. Hinz J, Hahn G, Neumann P, Sydow M, Mohrenweiser P, Hellige G, Burchardi H., End-expiratory lung impedance change enables bedside monitoring of end-expiratory lung volume change. Intensive Care Med 2003; 29: 37-43. (Pubitemid 36216380)
28. 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: 1362-7.
29. Richard JC, Maggiore SM, Mercat A, Clinical review: bedside assessment of alveolar recruitment. Crit Care 2004; 8: 163-9.