Positive end-expiratory pressure titration at bedside using electrical impedance tomography in post-operative cardiac surgery patients

Acta Anaesthesiologica Scandinavica

Volumn 59, Issue 6, 2015, Pages 723-732

  Karsten, J ^a   Grusnick, C ^b   Paarmann, H ^b   Heringlake, M ^b   Heinze, H ^b  

^a HANNOVER MEDICAL SCHOOL   (Germany)

^b UNIVERSITY OF LÜBECK   (Germany)

Author keywords

[No Author keywords available]

Indexed keywords

AGED; ARTERIAL PRESSURE; ARTICLE; CLINICAL ARTICLE; COMPUTER ASSISTED IMPEDANCE TOMOGRAPHY; FEMALE; GLOBAL DYNAMIC COMPLIANCE; HEART SURGERY; HUMAN; LUNG COMPLIANCE; LUNG VENTILATION DISTRIBUTION; MALE; OBSERVATIONAL STUDY; POSITIVE END EXPIRATORY PRESSURE; POSTOPERATIVE PERIOD; PRIORITY JOURNAL; SURGICAL PATIENT; TIDAL VOLUME; VENTILATED PATIENT; IMPEDANCE; POINT OF CARE SYSTEM; POSTOPERATIVE CARE; PROCEDURES; PROSPECTIVE STUDY; TOMOGRAPHY;

AGED; CARDIAC SURGICAL PROCEDURES; ELECTRIC IMPEDANCE; FEMALE; HUMANS; MALE; POINT-OF-CARE SYSTEMS; POSITIVE-PRESSURE RESPIRATION; POSTOPERATIVE CARE; POSTOPERATIVE PERIOD; PROSPECTIVE STUDIES; TOMOGRAPHY;

EID: 84930375678     PISSN: 00015172     EISSN: 13996576     Source Type: Journal    
DOI: 10.1111/aas.12518     Document Type: Article

References (28)

1. Network ARDS. 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: 1301-8.
2. Pavone L, Albert S, DiRocco J, Gatto L, Nieman G,. Alveolar instability caused by mechanical ventilation initially damages the nondependent normal lung. Crit Care 2007; 11: R104.
3. Halter JM, Steinberg JM, Schiller HJ, DaSilva M, Gatto LA, Landas S, Nieman GF,. Positive end-expiratory pressure after a recruitment maneuver prevents both alveolar collapse and recruitment/derecruitment. Am J Respir Crit Care Med 2003; 167: 1620-6.
4. Gernoth C, Wagner G, Pelosi P, Luecke T,. Respiratory and haemodynamic changes during decremental open lung positive end-expiratory pressure titration in patients with acute respiratory distress syndrome. Crit Care 2009; 13: R59.
5. Grasso S, Stripoli T, De Michele M, Bruno F, Moschetta M, Angelelli G, Munno I, Ruggiero V, Anaclerio R, Cafarelli A, Driessen B, Fiore T,. ARDSnet ventilatory protocol and alveolar hyperinflation: role of positive end-expiratory pressure. Am J Respir Crit Care Med 2007; 176: 761-7.
6. Talmor D, Sarge T, Malhotra A, O'Donnell CR, Ritz R, Lisbon A, Novack V, Loring SH,. Mechanical ventilation guided by esophageal pressure in acute lung injury. N Engl J Med 2008; 359: 2095-104.
7. Cressoni M, Cadringher P, Chiurazzi C, Amini M, Gallazzi E, Marino A, Brioni M, Carlesso E, Chiumello D, Quintel M, Bugedo G, Gattinoni L,. Lung inhomogeneity in patients with acute respiratory distress syndrome. Am J Respir Crit Care Med 2014; 189: 149-58.
8. Bikker IG, Preis C, Egal M, Bakker J, Gommers D,. Electrical impedance tomography measured at two thoracic levels can visualize the ventilation distribution changes at the bedside during a decremental positive end-expiratory lung pressure trial. Crit Care 2011; 15: R193.
9. Karsten J, Luepschen H, Grossherr M, Bruch HP, Leonhardt S, Gehring H, Meier T,. Effect of PEEP on regional ventilation during laparoscopic surgery monitored by electrical impedance tomography. Acta Anaesthesiol Scand 2011; 55: 878-86.
10. 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.
11. Luepschen H, Meier T, Grossherr M, Leibecke T, Karsten J, Leonhardt S,. Protective ventilation using electrical impedance tomography. Physiol Meas 2007; 28: S247-60.
12. Zhao Z, Steinmann D, Frerichs I, Guttmann J, Moller K,. PEEP titration guided by ventilation homogeneity: a feasibility study using electrical impedance tomography. Crit Care 2010; 14: R8.
13. Frerichs I, Weiler N,. Electrical impedance tomography: the next game level. Crit Care Med 2012; 40: 1015-6.
14. Heinze H, Eichler W, Karsten J, Sedemund-Adib B, Heringlake M, Meier T,. Functional residual capacity-guided alveolar recruitment strategy after endotracheal suctioning in cardiac surgery patients. Crit Care Med 2011; 39: 1042-9.
15. Zhao Z, Moller 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. Costa EL, Borges JB, Melo A, Suarez-Sipmann F, Toufen C Jr, Bohm SH, Amato MB,. Bedside estimation of recruitable alveolar collapse and hyperdistension by electrical impedance tomography. Intensive Care Med 2009; 35: 1132-7.
17. Gomez-Laberge C, Arnold JH, Wolf GK,. A unified approach for EIT imaging of regional overdistension and atelectasis in acute lung injury. IEEE Trans Med Imaging 2012; 31: 834-42.
18. Lowhagen K, Lundin S, Stenqvist O,. Regional intratidal gas distribution in acute lung injury and acute respiratory distress syndrome-assessed by electric impedance tomography. Minerva Anestesiol 2010; 76: 1024-35.
19. Blankman P, Hasan D, Groot Jebbink E, Gommers D,. Detection of 'best' positive end-expiratory pressure derived from electrical impedance tomography parameters during a decremental positive end-expiratory pressure trial. Crit Care 2014; 18: R95.
20. 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.
21. Abt K,. Descriptive data analysis: a concept between confirmatory and exploratory data analysis. Methods Inf Med 1987; 26: 77-88.
22. Nashef SA, Roques F, Michel P, Gauducheau E, Lemeshow S, Salamon R,. European system for cardiac operative risk evaluation (EuroSCORE). Eur J Cardiothorac Surg 1999; 16: 9-13.
23. Blankman P, Gommers D,. Lung monitoring at the bedside in mechanically ventilated patients. Curr Opin Crit Care 2012; 18: 261-6.
24. Stenqvist O,. Practical assessment of respiratory mechanics. Br J Anaesth 2003; 91: 92-105.
25. Rouby JJ, Puybasset L, Nieszkowska A, Lu Q,. Acute respiratory distress syndrome: lessons from computed tomography of the whole lung. Crit Care Med 2003; 31: S285-95.
26. Protti A, Votta E, Gattinoni L,. Which is the most important strain in the pathogenesis of ventilator-induced lung injury: dynamic or static? Curr Opin Crit Care 2014; 20: 33-8.
27. Tugrul S, Cakar N, Akinci O, Ozcan PE, Disci R, Esen F, Telci L, Akpir K,. Time required for equilibration of arterial oxygen pressure after setting optimal positive end-expiratory pressure in acute respiratory distress syndrome. Crit Care Med 2005; 33: 995-1000.
28. Henzler D, Pelosi P, Dembinski R, Ullmann A, Mahnken AH, Rossaint R, Kuhlen R,. Respiratory compliance but not gas exchange correlates with changes in lung aeration after a recruitment maneuver: an experimental study in pigs with saline lavage lung injury. Crit Care 2005; 9: R471-82.