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Electrical impedance tomography in acute respiratory distress syndrome
Pontificia Univ Catolica Chile, Fac Med, Dept Med Intens, Santiago, Chile;Acute Resp & Crit Illness Ctr ARCI, Santiago, Chile.
Univ Sao Paulo, Inst Coracao Incor, Hosp Clin, Div Pneumol,Fac Med, Sao Paulo, Brazil.
Pontificia Univ Catolica Chile, Fac Med, Dept Med Intens, Santiago, Chile;Acute Resp & Crit Illness Ctr ARCI, Santiago, Chile.
Pontificia Univ Catolica Chile, Fac Med, Dept Med Intens, Santiago, Chile;Acute Resp & Crit Illness Ctr ARCI, Santiago, Chile.
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2018 (English)In: Critical Care, ISSN 1364-8535, E-ISSN 1466-609X, Vol. 22, article id 263Article, review/survey (Refereed) Published
Abstract [en]

Acute respiratory distress syndrome (ARDS) is a clinical entity that acutely affects the lung parenchyma, and is characterized by diffuse alveolar damage and increased pulmonary vascular permeability. Currently, computed tomography (CT) is commonly used for classifying and prognosticating ARDS. However, performing this examination in critically ill patients is complex, due to the need to transfer these patients to the CT room. Fortunately, new technologies have been developed that allow the monitoring of patients at the bedside. Electrical impedance tomography (EIT) is a monitoring tool that allows one to evaluate at the bedside the distribution of pulmonary ventilation continuously, in real time, and which has proven to be useful in optimizing mechanical ventilation parameters in critically ill patients. Several clinical applications of EIT have been developed during the last years and the technique has been generating increasing interest among researchers. However, among clinicians, there is still a lack of knowledge regarding the technical principles of EIT and potential applications in ARDS patients. The aim of this review is to present the characteristics, technical concepts, and clinical applications of EIT, which may allow better monitoring of lung function during ARDS.

Place, publisher, year, edition, pages
BioMed Central, 2018. Vol. 22, article id 263
Keywords [en]
Electrical impedance tomography, Acute respiratory distress syndrome, Mechanical ventilation, Ventilation distribution, Lung imaging
National Category
Anesthesiology and Intensive Care
Identifiers
URN: urn:nbn:se:uu:diva-369945DOI: 10.1186/s13054-018-2195-6ISI: 000448393900003PubMedID: 30360753OAI: oai:DiVA.org:uu-369945DiVA, id: diva2:1272220
Available from: 2018-12-18 Created: 2018-12-18 Last updated: 2018-12-18Bibliographically approved

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Batista Borges, João

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