Influence of tidal volume on ventilation inhomogeneity assessed by electrical impedance tomography during controlled mechanical ventilation

Physiological Measurement

Volumn 36, Issue 6, 2015, Pages 1137-1146

  Becher, T ^a   Kott, M ^a   Schadler D ^a   Vogt, B ^a   Meinel, T ^a   Weiler, N ^a   Frerichs, I ^a  

^a UNIVERSITY HOSPITAL SCHLESWIG HOLSTEIN   (Germany)

Author keywords

ARDS; EIT; global inhomogeneity index; lung inhomogeneity; PEEP; tidal volume

Indexed keywords

ELECTRIC IMPEDANCE; ELECTRIC IMPEDANCE MEASUREMENT; ELECTRIC IMPEDANCE TOMOGRAPHY;

ARDS; ELECTRICAL IMPE DANCE TOMOGRAPHY (EIT); GLOBAL INHOMOGENEITY INDEX; INFLEXION POINT; INHOMOGENEITIES; INHOMOGENEITY INDEX; LUNG INHOMOGENEITY; POSITIVE END EXPIRATORY PRESSURES; TIDAL VOLUME; VENTILATION INHOMOGENEITY;

VENTILATION;

ADULT; AGED; ARTIFICIAL VENTILATION; HUMAN; IMPEDANCE; MIDDLE AGED; PATHOPHYSIOLOGY; POSITIVE END EXPIRATORY PRESSURE; PROCEDURES; RESPIRATORY DISTRESS SYNDROME, ADULT; RETROSPECTIVE STUDY; TIDAL VOLUME; TOMOGRAPHY; VERY ELDERLY;

ADULT; AGED; AGED, 80 AND OVER; ELECTRIC IMPEDANCE; HUMANS; MIDDLE AGED; POSITIVE-PRESSURE RESPIRATION; RESPIRATION, ARTIFICIAL; RESPIRATORY DISTRESS SYNDROME, ADULT; RETROSPECTIVE STUDIES; TIDAL VOLUME; TOMOGRAPHY;

EID: 84930669843     PISSN: 09673334     EISSN: 13616579     Source Type: Journal    
DOI: 10.1088/0967-3334/36/6/1137     Document Type: Conference Paper

References (20)

1. Adler A et al 2009 GREIT: a unified approach to 2D linear EIT reconstruction of lung images Physiol. Meas. 30 S35-55
2. Amato M B et al 1998 Effect of a protective-ventilation strategy on mortality in the acute respiratory distress syndrome N. Engl. J. Med. 338 347-54
3. ARDS-Network 2000 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. 342 1301-8
4. Bruhn A, Bugedo D, Riquelme F, Varas J, Retamal J, Besa C, Cabrera C and Bugedo G 2011 Tidal volume is a major determinant of cyclic recruitment-derecruitment in acute respiratory distress syndrome Minerva Anestesiol. 77 418-26
5. Cressoni M et al 2014 Lung inhomogeneity in patients with acute respiratory distress syndrome Am. J. Respir. Crit. Care Med. 189 149-58
6. Caironi P et al 2010 Lung opening and closing during ventilation of acute respiratory distress syndrome Am. J. Respir. Crit. Care Med. 181 578-86
7. Costa E L and Amato M B 2010 Can heterogeneity in ventilation be good? Crit. Care 14 134
8. Czaplik M, Biener I, Follmann A, Rossaint R and Leonhardt S 2014 Optimizing PEEP in ARDS: comparison of diverse EIT parameters Proc. of the 15th Int. Conf. on Biomedical Applications of Electrical Impedance Tomography (Gananoque, Ontario, Canada, 24-26 April 2014) p 74
9. Frerichs I, Becher T and Weiler N 2014 Electrical impedance tomography imaging of the cardiopulmonary system Curr. Opin. Crit. Care. 20 323-32
10. Grasso S, Terragni P, Mascia L, Fanelli V, Quintel M, Herrmann P, Hedenstierna G, Slutsky A S and Ranieri V M 2004 Airway pressure-time curve profile (stress index) detects tidal recruitment/hyperinflation in experimental acute lung injury Crit. Care Med. 32 1018-27
11. Grychtol B, Elke G, Meybohm P, Weiler N, Frerichs I and Adler A 2014 Functional validation and comparison framework for EIT lung imaging PLoS One 9 e103045
12. Pulletz S, van Genderingen H R, Schmitz G, Zick G, Schadler D, Scholz J, Weiler N and Frerichs I 2006 Comparison of different methods to define regions of interest for evaluation of regional lung ventilation by EIT Physiol. Meas. 27 115-27
13. Ranieri V M, Rubenfeld G D, Thompson B T, Ferguson N D, Caldwell E, Fan E, Camporota L and Slutsky A S 2012 Acute respiratory distress syndrome: the Berlin definition JAMA 307 2526-33
14. Reifferscheid F, Elke G, Pulletz S, Gawelczyk B, Lautenschläger I, Steinfath M, Weiler N and Frerichs I 2011 Regional ventilation distribution determined by electrical impedance tomography: reproducibility and effects of posture and chest plane Respirology 16 523-31
15. Slutsky A S and Ranieri V M 2014 Ventilator-induced lung injury N. Engl. J. Med. 369 2126-36
16. Villar J, Kacmarek R M, Perez-Mendez L and Aguirre-Jaime A 2006 A high positive end-expiratory pressure, low tidal volume ventilatory strategy improves outcome in persistent acute respiratory distress syndrome: a randomized, controlled trial Crit. Care Med. 34 1311-8
17. Zhao Z, Moller K, Steinmann D, Frerichs I and Guttmann J 2009 Evaluation of an electrical impedance tomography-based global inhomogeneity index for pulmonary ventilation distribution Intensive Care Med. 35 1900-6
18. Zhao Z, Pulletz S, Frerichs I, Muller-Lisse U and Moller K 2014 The EIT-based global inhomogeneity index is highly correlated with regional lung opening in patients with acute respiratory distress syndrome BMC Res. Notes 7 82
19. Zhao Z, Steinmann D, Frerichs I, Guttmann J and Moller K 2010 PEEP titration guided by ventilation homogeneity: a feasibility study using electrical impedance tomography Crit. Care 14 R8
20. Zick G, Elke G, Becher T, Schadler D, Pulletz S, Freitag-Wolf S, Weiler N and Frerichs I 2013 Effect of PEEP and tidal volume on ventilation distribution and end-expiratory lung volume: a prospective experimental animal and pilot clinical study PLoS One 8 e72675