Real-time ventilation and perfusion distributions by electrical impedance tomography during one-lung ventilation with capnothorax

Acta Anaesthesiologica Scandinavica

Volumn 59, Issue 3, 2015, Pages 354-368

  Reinius, H ^a   Borges, J B ^a,b   Freden F ^a   Jideus, L ^a   Camargo, E D L B ^b   Amato, M B P ^b   Hedenstierna, G ^a   Larsson, A ^a   Lennmyr, F ^a  

^a UPPSALA UNIVERSITY   (Sweden)

^b UNIVERSITY OF SÃO PAULO   (Brazil)

Author keywords

[No Author keywords available]

Indexed keywords

CARBON DIOXIDE;

ANIMAL EXPERIMENT; ANIMAL MODEL; ARTERIAL OXYGEN SATURATION; ARTICLE; ARTIFICIAL VENTILATION; BRAIN TISSUE; CAPNOTHORAX; CENTRAL VENOUS PRESSURE; CLINICAL ASSESSMENT; COMPUTER ASSISTED IMPEDANCE TOMOGRAPHY; CONTROLLED STUDY; DOUBLE LUMEN TUBE; HEART OUTPUT; LUNG GAS EXCHANGE; LUNG HEMODYNAMICS; LUNG PERFUSION; LUNG VENTILATION DISTRIBUTION; MEAN ARTERIAL PRESSURE; MUSCLE RELAXATION; NONHUMAN; ONE LUNG VENTILATION; PHYSIOLOGICAL PROCESS; PIGLET; PNEUMOTHORAX; POSITIVE END EXPIRATORY PRESSURE; PRIORITY JOURNAL; THORAX PRESSURE; TISSUE OXYGENATION; VENOUS OXYGEN TENSION; AERATION; ANALYSIS OF VARIANCE; ANIMAL; DISEASE MODEL; HEMODYNAMICS; IMPEDANCE; LUNG CIRCULATION; PHYSIOLOGY; PIG; PLEURA CAVITY; PROCEDURES;

ANALYSIS OF VARIANCE; ANIMALS; CARBON DIOXIDE; CARDIAC OUTPUT; DISEASE MODELS, ANIMAL; ELECTRIC IMPEDANCE; HEMODYNAMICS; INSUFFLATION; ONE-LUNG VENTILATION; PLEURAL CAVITY; PULMONARY CIRCULATION; SWINE;

EID: 84922855281     PISSN: 00015172     EISSN: 13996576     Source Type: Journal    
DOI: 10.1111/aas.12455     Document Type: Article

References (45)

1. Deshpande SP, Lehr E, Odonkor P, Bonatti JO, Kalangie M, Zimrin DA, Grigore AM. Anesthetic management of robotically assisted totally endoscopic coronary artery bypass surgery (TECAB). J Cardiothorac Vasc Anesth 2013; 27: 586-99.
2. Campos J, Ueda K. Update on anesthetic complications of robotic thoracic surgery. Minerva Anestesiol 2014; 80: 83-8.
3. El-Dawlatly A, Al-Dohayan A, Riyad W, Thalaj A, Delvi B, Al-Saud S. Thoracoscopic sympathectomy: endobronchial anesthesia vs. endotracheal anesthesia with intrathoracic CO2 insufflation. J Anesth 2002; 16: 13-6.
4. Mukhtar AM, Obayah GM, Elmasry A, Dessouky NM. The therapeutic potential of intraoperative hypercapnia during video-assisted thoracoscopy in pediatric patients. Anesth Analg 2008; 106: 84-8.
5. Sirak J, Jones D, Sun B, Sai-Sudhakar C, Crestanello J, Firstenberg M. Toward a definitive, totally thoracoscopic procedure for atrial fibrillation. Ann Thorac Surg 2008; 86: 1960-4.
6. Wolf RK, Schneeberger EW, Osterday R, Miller D, Merrill W, Flege JB, Gillinov AM. Video-assisted bilateral pulmonary vein isolation and left atrial appendage exclusion for atrial fibrillation. J Thorac Cardiovasc Surg 2005; 130: 797-802.
7. Ohtsuka T, Nakajima J, Kotsuka Y, Takamoto S. Hemodynamic responses to intrapleural insufflation with hemipulmonary collapse. Surg Endosc 2001; 15: 1327-30.
8. Adler A, Amyot R, Guardo R, Bates JH, Berthiaume Y. Monitoring changes in lung air and liquid volumes with electrical impedance tomography. J Appl Physiol 1997; 83: 1762-7.
9. Adler A, Shinozuka N, Berthiaume Y, Guardo R, Bates JH. Electrical impedance tomography can monitor dynamic hyperinflation in dogs. J Appl Physiol 1998; 84: 726-32.
10. Brown BH, Barber DC, Seagar AD. Applied potential tomography: possible clinical applications. Clin Phys Physiol Meas 1985; 6: 109-21.
11. Victorino JA, Borges JB, Okamoto VN, Matos GFJ, Tucci MR, Caramez MPR, Tanaka H, Sipmann FS, Santos DCB, Barbas CSV, Carvalho CRR, Amato MBP. Imbalances in regional lung ventilation: a validation study on electrical impedance tomography. Am J Respir Crit Care Med 2004; 169: 791-800.
12. Frerichs I, Schmitz G, Pulletz S, Schadler D, Zick G, Scholz J, Weiler N. Reproducibility of regional lung ventilation distribution determined by electrical impedance tomography during mechanical ventilation. Physiol Meas 2007; 28: S261-7.
13. Hinz J, Moerer O, Neumann P, Dudykevych T, Frerichs I, Hellige G, Quintel M. Regional pulmonary pressure volume curves in mechanically ventilated patients with acute respiratory failure measured by electrical impedance tomography. Acta Anaesthesiol Scand 2006; 50: 331-9.
14. Richard JC, Pouzot C, Gros A, Tourevieille C, Lebars D, Lavenne F, Frerichs I, Guerin C. Electrical impedance tomography compared to positron emission tomography for the measurement of regional lung ventilation: an experimental study. Crit Care 2009; 13: R82.
15. Zhao Z, Möller K, Steinmann D, Frerichs I, Guttmann J. Evaluation of an electrical impedance tomography-based Global Inhomogeneity Index for pulmonary ventilation distribution. Intensive Care Med 2009; 35: 1900-6.
16. Borges JB, Suarez-Sipmann F, Bohm SH, Tusman G, Melo A, Maripuu E, Sandström M, Park M, Costa ELV, Hedenstierna G, Amato M. Regional lung perfusion estimated by electrical impedance tomography in a piglet model of lung collapse. J Appl Physiol 2012; 112: 225-36.
17. Costa ELV, Borges JB, Melo A, Suarez-Sipmann F, Toufen C, Bohm SH, Amato MBP. Bedside estimation of recruitable alveolar collapse and hyperdistension by electrical impedance tomography. Intensive Care Med 2009; 35: 1132-7.
18. Costa EL, Lima RG, Amato MB. Electrical impedance tomography. Curr Opin Crit Care 2009; 15: 18-24. [Internet].
19. Costa ELV, Chaves CN, Gomes S, Beraldo MA, Volpe MS, Tucci MR, Schettino IAL, Bohm SH, Carvalho CRR, Tanaka H, Lima RG, Amato MBP. Real-time detection of pneumothorax using electrical impedance tomography. Crit Care Med 2008; 36: 1230-8.
20. 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.
21. Frerichs I, Hahn G, Schroder T, Hellige G. Electrical impedance tomography in monitoring experimental lung injury. Intensive Care Med 1998; 24: 829-36.
22. 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.
23. Frerichs I, Hinz J, Herrmann P, Weisser G, Hahn G, Quintel M, Hellige G. Regional lung perfusion as determined by electrical impedance tomography in comparison with electron beam CT imaging. IEEE Trans Med Imaging 2002; 21: 646-52.
24. Brown BH, Leathard A, Sinton A, McArdle FJ, Smith RW, Barber DC. Blood flow imaging using electrical impedance tomography. Clin Phys Physiol Meas 1992; 13: 175-9.
25. Trautman ED, Newbower RS. A practical analysis of the electrical conductivity of blood. IEEE Trans Biomed Eng 1983; 30: 141-54.
26. Meier P, Zierler KL. On the theory of the indicator-dilution method for measurement of blood flow and volume. J Appl Physiol 1954; 6: 731-44.
27. Thompson HKJ, Starmer CF, Whalen RE, McIntosh HD. Indicator transit time considered as a gamma variate. Circ Res 1964; 14: 502-15.
28. Miller MR, Crapo R, Hankinson J, Brusasco V, Burgos F, Casaburi R, Coates A, Enright P, van der Grinten CPM, Gustafsson P, Jensen R, Johnson DC, MacIntyre N, McKay R, Navajas D, Pedersen OF, Pellegrino R, Viegi G, Wanger J, ATS/ERS Task Force. General considerations for lung function testing. Eur Respir J 2005; 26: 153-61.
29. Hambraeus-Jonzon K, Bindslev L, Mellgård AJ, Hedenstierna G. Hypoxic pulmonary vasoconstriction in human lungs. A stimulus-response study. Anesthesiology 1997; 86: 308-15.
30. Kozian A, Schilling T, Freden F, Maripuu E, Rocken C, Strang C, Hachenberg T, Hedenstierna G. One-lung ventilation induces hyperperfusion and alveolar damage in the ventilated lung: an experimental study. Br J Anaesth 2008; 100: 549-59.
31. Conacher ID. Anaesthesia for thoracoscopic surgery. Best Pract Res Clin Anaesthesiol 2002; 16: 53-62.
32. Harris RJD, Benveniste G, Pfitzner J. Cardiovascular collapse caused by carbon dioxide insufflation during one-lung anaesthesia for thoracoscopic dorsal sympathectomy. Anaesth Intensive Care 2002; 30: 86-9.
33. Wolfer RS, Krasna MJ, Hasnain JU, McLaughlin JS. Hemodynamic effects of carbon dioxide insufflation during thoracoscopy. Ann Thorac Surg 1994; 58: 404-7. discussion407-8.
34. Chuang I-C, Dong H-P, Yang R-C, Wang T-H, Tsai J-H, Yang P-H, Huang M-S. Effect of carbon dioxide on pulmonary vascular tone at various pulmonary arterial pressure levels induced by endothelin-1. Lung 2010; 188: 199-207.
35. Nilsson MCA, Fredén F, Larsson A, Wiklund P, Bergquist M, Hambraeus-Jonzon K. Hypercapnic acidosis transiently weakens hypoxic pulmonary vasoconstriction without affecting endogenous pulmonary nitric oxide production. Intensive Care Med 2012; 38: 509-17.
36. Strang CM, Ebmeyer U, Maripuu E, Hachenberg T, Hedenstierna G. Improved ventilation-perfusion matching by abdominal insufflation (pneumoperitoneum) with CO2 but not with air. Minerva Anestesiol 2013; 79: 617-25.
37. Strang CM, Freden F, Maripuu E, Hachenberg T, Hedenstierna G. Ventilation-perfusion distributions and gas exchange during carbon dioxide-pneumoperitoneum in a porcine model. Br J Anaesth 2010; 105: 691-7.
38. Kiely DG, Cargill RI, Lipworth BJ. Effects of hypercapnia on hemodynamic, inotropic, lusitropic, and electrophysiologic indices in humans. Chest 1996; 109: 1215-21.
39. Price HL. Effects of carbon dioxide on the cardiovascular system. Anesthesiology 1960; 21: 652-63.
40. Benumof JL. Sequential one-lung ventilation for bilateral bullectomy. Anesthesiology 1987; 67: 268-72.
41. Freden F, Wei SZ, Berglund JE, Frostell C, Hedenstierna G. Nitric oxide modulation of pulmonary blood flow distribution in lobar hypoxia. Anesthesiology 1995; 82: 1216-25.
42. Freden F, Berglund JE, Reber A, Hogman M, Hedenstierna G. Inhalation of a nitric oxide synthase inhibitor to a hypoxic or collapsed lung lobe in anaesthetized pigs: effects on pulmonary blood flow distribution. Br J Anaesth 1996; 77: 413-8.
43. Pirlo AF, Benumof JL, Trousdale FR. Atelectatic lobe blood flow: open vs. closed chest, positive pressure vs. spontaneous ventilation. J Appl Physiol Respir Environ Exerc Physiol 1981; 50: 1022-6.
44. Domino KB, Wetstein L, Glasser SA, Lindgren L, Marshall C, Harken A, Marshall BE. Influence of mixed venous oxygen tension (PVO2) on blood flow to atelectatic lung. Anesthesiology 1983; 59: 428-34.
45. Witt L, Osthaus WA, Schröder T, Teich N, Dingemann C, Kübler J, Böthig D, Sümpelmann R. Single-lung ventilation with carbon dioxide hemipneumothorax: hemodynamic and respiratory effects in piglets. Paediatr Anaesth 2012; 22: 793-8.