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Narrative Review

Electrical impedance tomography in the clinical assessment of lung volumes following recruitment manoeuvres

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Pages 66-74 | Received 30 Jun 2010, Accepted 20 Nov 2010, Published online: 12 Nov 2013

References

  • Villar J. Ventilator or physician-induced lung injury? Minerva Anestesiol 2005;71:255–8.
  • Halpern NA, Pastores SM. Critical care medicine in the United States 2000–2005: an analysis of bed numbers, occupancy rates, payer mix, and costs. Crit Care Med 2010;38:65–71.
  • Rubenfeld GD, Caldwell E, Peabody E, Weaver J, Martin DP, Neff M, et al.. Incidence and outcomes of acute lung injury. N Engl J Med 2005;353:1685–93.
  • Hopkins RO, Key CW, Suchtya MR, Weaver LK, Orme JF. Risk factors for depression and anxiety in survivors of acute respiratory distress syndrome. Gen Hosp Psychiatry 2010;32:147–55.
  • Lionetti V, Recchia FA, Ranieri VM. Overview of ventilator-induced lung injury mechanisms. Curr Opin Crit Care 2005;11:82–6.
  • ARDSNet. Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. N Engl J Med 2000;342:1301–8.
  • Michaud G, Cardinal P. Mechanisms of ventilator-induced lung injury: the clinician’s perspective. Crit Care [Internet]. 2003 [cited 2010 Oct 25];7:209–10. Available from: http://ccforum.com/content/7/3/209.
  • ARDSNet. Higher versus lower positive end-expiratory pressures in patients with the acute respiratory distress syndrome. N Engl J Med 2004;351:327–36.
  • Gattinoni L, Carlesso E, Brazzi L, Caironi P. Positive end-expiratory pressure. Curr Opin Crit Care 2010;16:39–44.
  • Luepschen H, Meier T, Grossherr M, Leibecke T, Karsten J, Leonhardt S. Protective ventilation using electrical impedance tomography. Physiol Meas 2007;28:S247–60.
  • Costa E, Borges J, Melo A, Suarez-Sipmann F, Toufen C, Bohm S, et al.. Bedside estimation of recruitable alveolar collapse and hyperdistension by electrical impedance tomography. Intensive Care Med 2009;35:1132–7.
  • Di Marco F, Devaquet J, Lyazidi A, Galia F, da Costa NP, Fumagalli R, et al.. Positive end-expiratory pressure-induced functional recruitment in patients with acute respiratory distress syndrome. Crit Care Med 2010;38:1–6.
  • Gattinoni L, Caironi P, Cressoni M, Chiumello D, Ranieri VM, Quintel M, et al.. Lung recruitment in patients with the acute respiratory distress syndrome. N Engl J Med 2006;354:1775–86.
  • Bikker I, van Bommel J, Miranda D, Bakker J, Gommers D. End-expiratory lung volume during mechanical ventilation: a comparison with reference values and the effect of positive end-expiratory pressure in intensive care unit patients with different lung conditions. Crit Care [Internet]. 2008 [cited 2008 Dec 11];12(6):R145. Available from: http://ccforum.com/content/12/6/R145.
  • Caironi P, Gattinoni L. How to monitor lung recruitment in patients with acute lung injury. Curr Opin Crit Care 2007;13:338–43.
  • Heinze H, Eichler W. Measurements of functional residual capacity during intensive care treatment: the technical aspects and its possible clinical applications. Acta Anaesthesiol Scand 2009;53:1121–30.
  • Lee WL, Stewart TE, MacDonald R, Lapinsky S, Banayan D, Hallett D, et al.. Safety of pressure–volume curve measurement in acute lung injury and ARDS using a syringe technique. Chest 2002;121:1595–601.
  • Costa ELV, Lima RG, Amato MBP. Electrical impedance tomography. Curr Opin Crit Care 2009;15:18–24.
  • Frerichs I. Electrical impedance tomography (EIT) in applications related to lung and ventilation: a review of experimental and clinical activities. Physiol Meas 2000;21:R1–21.
  • Muders T, Luepschen H, Putensen C. Impedance tomography as a new monitoring technique. Curr Opin Crit Care 2010;16:269–75.
  • Tingay TG, Copnell B, Grant CA, Dargaville P, Dunster KR, Schibler A. The effect of endotracheal suction on regional tidal ventilation and end-expiratory lung volume. Intensive Care Med 2010;36:888–96.
  • Lindgren S, Odenstedt H, Erlandsson K, Grivans C, Lundin S, Stenqvist O. Bronchoscopic suctioning may cause lung collapse: a lung model and clinical evaluation. Acta Anaesthesiol Scand 2007;52:209–18.
  • Lindgren S, Odenstedt H, Olegard C, Sondergaard S, Lundin S, Stenqvist O. Regional lung derecruitment after endotracheal suction during volume- or pressure-controlled ventilation: a study using electric impedance tomography. Intensive Care Med 2007;33:172–80.
  • Riedel T, Richards R, Schibler A. The value of electrical impedance tomography in assessing the effect of body position and positive airway pressures on regional lung ventilation in spontaneously breathing subjects. Intensive Care Med 2005;31:1522–8.
  • Brown B, Barber D, Seagar A. Applied potential tomography: possible clinical applications. Clin Phys Physiol Meas 1985;6:109–21.
  • Bodenstein M, David M, Markstaller K. Principles of electrical impedance tomography and its clinical application. Crit Care Med 2009;37:713–24.
  • Holder DS. Electrical impedance tomography: methods, history and applications. In: , Orton C G, Nagel J H, Webster J G, ed, editors. Series in medical physics and biomedical engineering. Bristol: Institute of Physics Publishing; 2005. pp.107–126.
  • Hartinger AE, Gagnon H, Guardo R. Accounting for hardware imperfections in EIT image reconstruction algorithms. Physiol Meas 2007;28:S13–27.
  • Putenson P, Wrigge H, Zinserling Z. Electrical impedance tomography guided ventilation. Curr Opin Crit Care 2007;13:344–50.
  • Rooney D, Friese M, Fraser JF, Dunster KR, Schibler A. Gravity-dependent ventilation distribution in rats measured with electrical impedance tomography. Physiol Meas 2009;30:1075–85.
  • Adler A, Amyot R, Guardo R, Bates JHT, Berthiaume Y. Monitoring changes in lung air and liquid volumes with electrical impedance tomography. J Appl Physiol 1997;83:1762–7.
  • van Genderingen HR, van Vught AJ, Jansen JRC. Estimation of regional lung volume changes by electrical impedance pressures tomography during a pressure–volume maneuver. Intensive Care Med 2003;29:233–40.
  • Victorino JA, Borges JB, Okamoto VN, Matos GFJ, Tucci MR, Caramez MPR, et al.. Imbalances in regional lung ventilation a validation study on electrical impedance tomography. Am J Respir Crit Care Med 2004;169:791–800.
  • Frerichs I, Hinz J, Herrmann P, Weisser G, Hahn G, Dudykevych T, et al.. Detection of local lung air content by electrical impedance tomography compared with electron beam CT. J Appl Physiol 2002;93:660–6.
  • 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.
  • Hinz J, Hahn G, Neumann P, Sydow M, Mohrenweiser P, Hellige G, et al.. End-expiratory lung impedance change enables bedside monitoring of end-expiratory lung volume change. Intensive Care Med 2003;29:37–43.
  • Frerichs I, Schmitz G, Pulletz S, Schadler D, Zick G, Scholz J, et al.. Reproducibility of regional lung ventilation distribution determined by electrical impedance tomography during mechanical ventilation. Physiol Meas 2007;28:S261–7.
  • Nebuya S, Noshiro M, Yonemoto A, Tateno S, Brown BH, Smallwood RH, et al.. Study of the optimum level of electrode placement for the evaluation of absolute lung resistivity with the Mk3.5 EIT system. Physiol Meas 2006;27:S129–37.
  • Caruana LR, Barnett AG, Tronstad O, Paratz J, Chang A, Fraser JF. The timing of onset of filling for regions of interest is reproducible. An observational study using electrical impedance tomography. Proceedings of ANZICS/ACCCN Intensive Care ASM 2010; 2010 Oct 14–16; Melbourne, Australia. p. 172.
  • Grant C, Trang P, Foster K, Hough J, Schibler A. Ventilation inhomogeneity during quiet breathing. Proceedings of Asia-Pacific Critical Care Congress; 2008 Oct 30–Nov 2; Sydney, Australia. p. 76.
  • Calzia E, Hahn G, Hellige G. Electrical impedance tomography: looking behind the secrets of regional lung function. Intensive Care Med 2005;31:1474–5.
  • Kunst PW, Bohm SH, de Anda GV, Amato MB, Lachmann B, Postmus PE, et al.. Regional pressure volume curves by electrical impedance tomography in a model of acute lung injury. Crit Care Med 2000;28:178–83.
  • Kunst PW, de Anda GV, Bohm SH, Faes TJC, Lachmann B, Postmus PE, et al.. Monitoring of recruitment and derecruitment by electrical impedance tomography in a model of acute lung injury. Crit Care Med 2000;28:3891–5.
  • 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.
  • Meier T, Luepschen H, Karsten J, Leibecke T, Grossherr M, Gehring H, et al.. Assessment of regional lung recruitment and derecruitment during a PEEP trial based on electrical impedance tomography. Intensive Care Med 2008;34:543–50.
  • Hodgson C, Keating JL, Holland AL, Davies AR, Smirneos L, Bradley SJ, et al.. Recruitment manoeuvres for adults with acute lung injury receiving mechanical ventilation. Cochrane Database Syst Rev [Internet]. 2009 [cited 2010 Sept 20];(2):CD006667. Available from: http://www.mrw.interscience.wiley.com/cochrane/clsysrev/articles/CD006667/frame.html.
  • 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.
  • Bikker I, Leonhardt S, Reis Miranda D, Bakker J, Gommers D. Bedside measurement of changes in lung impedance to monitor alveolar ventilation in dependent and non-dependent parts by electrical impedance tomography during a positive end-expiratory pressure trial in mechanically ventilated intensive care unit patients. Crit Care [Internet]. 2010 [cited 2010 May 30];14(3):R100. Available from: http://ccforum.com/content/14/3/R100.
  • Grant C, Fraser J, Dunster K, Schibler A. The assessment of regional lung mechanics with electrical impedance tomography: a pilot study during recruitment manoeuvres. Intensive Care Med 2009;35:166–70.
  • Wrigge H, Zinserling J, Muders T, Varelmann D, Gunther U, von der Groeben C, 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;36:903–9.
  • Savian C, Paratz J, Davies A. Comparison of the effectiveness of manual and ventilator hyperinflation at different levels of positive end-expiratory pressure in artificially ventilated and intubated intensive care patients. Heart Lung 2006;35:334–41.
  • Bryan AC. Comments of a devil’s advocate (editorial). Am Rev Respir Dis 1974;110 (Suppl):143–4.
  • Gattinoni L, Tognoni G, Pesenti A, Taccone P, Mascheroni D, Labarta V, et al.. Effect of prone positioning on the survival of patients with acute respiratory failure. N Engl J Med 2001;345:568–73.
  • Gattinoni L, Pelosi P, Vitale G, Pesenti A, D’Andrea L, Mascheroni D. Body position changes redistribute lung computed-tomographic density in patients with acute respiratory failure. Anesthesiology 1991;74:15–23.
  • Gattinoni L, Vagginelli F, Carlesso E, Taccone P, Conte V, Chiumello D, et al.. Decrease in PaCO2 with prone position is predictive of improved outcome in acute respiratory distress syndrome. Crit Care Med 2003;31:2727–33.
  • Guerin C, Gaillard S, Lemasson S, Ayzac L, Girard R, Beuret P, et al.. Effects of systematic prone positioning in hypoxemic acute respiratory failure: a randomized controlled trial. JAMA 2004;292:2379–87.
  • van Nieuwenhoven CA, Vanderbroucke-Grauls C, van Tiel FH, Joore HC, van Schijndel RJ, van der Tweel I, et al.. Feasibility and effects of the semirecumbent position to prevent ventilator associated pneumonia: a randomized study. Crit Care Med 2006;34:396–402.
  • Grapp MJ, Munro CL, Humell RS, Elswick RK, McKinney JL, Sessler CN. Effect of backrest elevation on the development of ventilator associated pneumonia. Am J Crit Care 2005;14:323–33.
  • Drakulovic MB, Torres A, Bauer TT, Nicholas JM, Nogue S, Ferrer M. Supine body position as a risk factor for nosocomial pneumonia in mechanically ventilated patients: a randomised trial. Lancet 1999;354:1851–8.
  • Ibanez J, Raurich JM, Abizanda A, Claramonte R, Ibanez P, Bergada J. The effect of lateral positions on gas exchange in patients with unilateral lung disease during mechanical ventilation. Intensive Care Med 1981;7:231–4.
  • Frerichs I, Braun P, Dudykevych T, Hahn G, Genee D, Hellige G. Distribution of ventilation in young and elderly adults determined by electrical impedance tomography. Respir Physiol Neurobiol 2004;143:63–75.
  • Watson RA, Pride NB. Postural changes in lung volumes and respiratory resistance in subjects with obesity. J Appl Physiol 2005;98:512–7.
  • Pulletz S, Elke G, Zick G, Schadler D, Reifferscheid F, Weiler N, et al.. Effects of restricted thoracic movement on the regional distribution of ventilation. Acta Anaesthesiol Scand 2010;54:751–60.
  • Froese AB, Bryan AC. Effects of anesthesia and paralaysis on diaphragmatic mechanics in man. Anesthesiology 1974;41:242–55.
  • Putensen C, Muders T, Varelmann D, Wrigge H. The impact of spontaneous breathing during mechanical ventilation. Curr Opin Crit Care 2006;12:13–18.
  • 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.
  • Frerichs I, Hahn G, Schiffmann H, Berger C, Hellige G. Monitoring regional lung ventilation by functional electrical impedance tomography during assisted ventilation. Ann N Y Acad Sci 1999;873:493–505.
  • Markhorst DG, Groeneveld ABJ, Heethaar RM, Zonneveld E, Van Genderingen HR. Assessing effects of PEEP and global expiratory lung volume on regional electrical impedance tomography. J Med Eng Technol 2009;33:281–7.
  • Schultz MJ. Electrical impedance tomography – a new toy for boys or the future for mechanically ventilated patients? Crit Care Med 2008;36:1380–1.
  • Hartinger AE, Gagnon H, Guardo R. A method for modelling and optimizing an electrical impedance tomography system. Physiol Meas 2006;27:S51–64.
  • Graham BM, Adler A. Electrode placement configurations for 3D EIT. Physiol Meas 2007;28:S29–44.
  • Goharian M, Soleimani M, Jegatheesan A, Chin K, Moran G. A DSP based multi-frequency 3D electrical impedance tomography system. Ann Biomed Eng 2008;36:1594–603.
  • Yue X, McLeod C. FPGA design and implementation for EIT data acquisition. Physiol Meas 2008;29:1233–46.
  • Fagerberg A, Stenqvist O, Aneman A. Electrical impedance tomography applied to assess matching of pulmonary ventilation and perfusion in a porcine experimental model. Crit Care [Internet]. 2009 [cited 2009 Mar 6];13(2):R34. Available from: http://ccforum.com/content/13/2/R34.
  • Fagerberg A, Stenqvist O, Aneman A. Monitoring pulmonary perfusion by electrical impedance tomography: an evaluation in a pig model. Acta Anaesthesiol Scand 2009;53:152–8.

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