Electrical impedance tomography monitoring in acute respiratory distress syndrome patients with mechanical ventilation during prolonged positive end-expiratory.

Slides:

Advertisements

Similar presentations

Effect of Positive End Expiratory Pressure and level of Pressure Support Ventilation on ventral-to-dorsal tidal ventilation redistribution and heterogeneity.

Advertisements

Date of download: 5/30/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Mechanical Breath Profile of Airway Pressure Release.

National database study of survival of pediatric congenital heart disease patients in Taiwan Shu-Jen Yeh, Hui-Chi Chen, Chun-Wei Lu, Jou-Kou Wang, Li-Min.

2002 Air Medical Transport Industry Awards Air Medical Journal Volume 22, Issue 2, Pages (March 2003) DOI: /S X(03) Copyright.

Application of Ultrasound and Ultrasound-Guided Intervention for Evaluating Elbow Joint Pathologies Chia-Wei Lin, Yan-Hao Chen, Wen-Shiang Chen Journal.

Low-normal serum potassium is associated with an increased risk of cardiovascular and all-cause death in community-based elderly Ying-Ho Lai, Hsin-Bang.

Comparison of the clinical manifestations exhibited by dengue and nondengue patients among children in a medical center in southern Taiwan Shih-Tien Pan,

Early impact of pneumococcal conjugate vaccine on invasive pneumococcal disease in Singapore children, 2005 through 2010 Koh Cheng Thoon, Chia Yin Chong,

Melatonin utility in neonates and children

Pharmacist-directed reconciliation for reducing medication discrepancies: A pilot study in a nursing home setting in Taiwan Chun-Nan Kuo, You-Meei Lin,

Is there a place for pressure-support ventilation and high positive end-expiratory pressure combined to alpha-2 agonists early in severe diffuse acute.

From: Compressive Forces and Computed Tomography–derived Positive End-expiratory Pressure in Acute Respiratory Distress Syndrome Anesthes. 2014;121(3):

Cost effectiveness of cancer treatment in Taiwan

Live birth after single embryo transfer of autologous cryopreserved oocytes from a patient with myelodysplastic syndrome who underwent allogenic peripheral.

Thoracic empyema in patients with liver cirrhosis: Clinical characteristics and outcome analysis of thoracoscopic management Ke-Cheng Chen, MD, Jou-Wei.

Effect of intraoperative neuromonitoring on recurrent laryngeal nerve palsy rates after thyroid surgery—A meta-analysis Shixing Zheng, Zhiwen Xu, Yuanyuan.

Efficacy of ventilator-associated pneumonia care bundle for prevention of ventilator- associated pneumonia in the surgical intensive care units of a medical.

Needlestick and sharps injuries among dental healthcare workers at a university hospital Jang-Jaer Lee, Sang-Heng Kok, Shih-Jung Cheng, Li-Deh Lin, Chun-Pin.

Identification of factors for physicians to facilitate early differential diagnosis of scrub typhus, murine typhus, and Q fever from dengue fever in Taiwan

Association between irritable bowel syndrome and colorectal cancer: A nationwide population-based study Cheng-Wen Hsiao, Wen-Yen Huang, Tao-Wei Ke, Chih-Hsin.

Lung cancer screening with low-dose computed tomography: Experiences from a tertiary hospital in Taiwan Chih-Yu Chen, Chia-Hung Chen, Te-Chun Shen, Wen-Chien.

Assessment of body composition using bioelectrical impedance analysis in Prader-Willi syndrome Hsiang-Yu Lin, Ming-Ren Chen, Chih-Kuang Chuang, Chi-Yu.

Clinical outcomes of septic patients with diabetic ketoacidosis between 2004 and 2013 in a tertiary hospital in Taiwan Yu-Chen Cheng, Chung-Hao Huang,

The application of infrared thermography in evaluation of patients at high risk for lower extremity peripheral arterial disease Chi-Lun Huang, MD, Yen-Wen.

The application of infrared thermography in evaluation of patients at high risk for lower extremity peripheral arterial disease Chi-Lun Huang, MD, Yen-Wen.

Chia-Lin Hsu, MD, Kuan-Yu Chen, MD, PhD Journal of Thoracic Oncology

Extracorporeal Membrane Oxygenation for Acute Respiratory Distress Syndrome After Pneumonectomy Jeremie Reeb, MD, MS, Anne Olland, MD, PhD, Julien Pottecher,

Francisco Igor B. Macedo, MD, Enisa M

Increasing positive end-expiratory pressure (re-)improves intraoperative respiratory mechanics and lung ventilation after prone positioning J Spaeth,

Diameter change of common femoral arteries after percutaneous endovascular aortic repair with the use of the preclose technique Yang-Yu Lin, MD, Ren-Fu.

Prognostic significance of splenectomy for patients with gastric adenocarcinoma undergoing total gastrectomy: A retrospective cohort study Frank Wang,

Ventilation with low tidal volumes during upper abdominal surgery does not improve postoperative lung function T.A. Treschan, W. Kaisers, M.S. Schaefer,

Mechanical Ventilation: State of the Art

Role of shear stress in ventilator-induced lung injury

Performance of influenza-specific triage tools in an H1N1-positive cohort: P/F ratio better predicts the need for mechanical ventilation and critical.

Oxygen delivery through high-flow nasal cannulae increase end-expiratory lung volume and reduce respiratory rate in post-cardiac surgical patients A.

Acute respiratory and metabolic acidosis induced by excessive muscle contraction during spinal evoked stimulation Y Tohdoh, S Sumita, T Kawamata, K Omote,

Role of shear stress in ventilator-induced lung injury

Acute Respiratory Distress Syndrome With and Without Extracorporeal Membrane Oxygenation: A Score Matched Study Hsiao-Chi Tsai, MD, Chih-Hsiang Chang,

The effect of bi-level positive airway pressure mechanical ventilation on gas exchange during general anaesthesia Yu G , Yang K , Baker A.B. , Young.

Society of Thoracic Surgeons Score Predicts Kidney Injury in Patients Not Undergoing Bypass Surgery Chih-Hsiang Chang, MD, Chung-Ming Fu, MD, Chia-Hung.

The impact of tidal volume on pulmonary complications following minimally invasive esophagectomy: A randomized and controlled study Yaxing Shen, MD,

Prognosis of Patients With Acute Respiratory Distress Syndrome on Extracorporeal Membrane Oxygenation: the Impact of Urine Output on Mortality Ching-Chung.

Lead Intoxication Caused by Traditional Chinese Herbal Medicine

Regional ventilation in cystic fibrosis measured by electrical impedance tomography Zhanqi Zhao, Rainald Fischer, Inéz Frerichs, Ullrich Müller-Lisse,

Endobronchial ultrasonographically guided transbronchial needle aspiration in mediastinal abscesses Yen-Fu Chen, MD, Chao-Chi Ho, MD, PhD, Chung-Yu Chen,

Intestinal Obstruction Caused by Small Bowel Volvulus

High PEEP in acute respiratory distress syndrome: quantitative evaluation between improved arterial oxygenation and decreased oxygen delivery M. Chikhani,

Perioperative assessment of regional ventilation during changing body positions and ventilation conditions by electrical impedance tomography A. Ukere,

Lung adenocarcinoma with intraoperatively diagnosed pleural seeding: Is main tumor resection beneficial for prognosis? Chi Li, MD, Shuenn-Wen Kuo, MD,

Kiran Devisetty, MD, Joseph K. Salama, MD Journal of Thoracic Oncology

U. Goebel, J. Haberstroh, K. Foerster, C. Dassow, H. -J. Priebe, J

Protective ventilation in experimental acute respiratory distress syndrome after ventilator-induced lung injury: a randomized controlled trial L. Uttman,

P. Michelet, A. Roch, D. Brousse, X. -B. D'Journo, F. Bregeon, D

Volume 140, Issue 2, Pages (August 2011)

Nivolumab-Induced Acute Diabetes Mellitus and Hypophysitis in a Patient with Advanced Pulmonary Pleomorphic Carcinoma with a Prolonged Tumor Response

B. Pearce, G.B. Drummond British Journal of Anaesthesia

Ayman O. Soubani, MD, John C. Ruckdeschel, MD

Is Thymectomy Necessary in Nonmyasthenic Patients with Early Thymoma?

Value in Health Regional Issues

The Case ∣ Metabolic disarray after fire extinguisher powder ingestion

Ventilation strategies in obese patients undergoing surgery: a quantitative systematic review and meta-analysis† M. Aldenkortt, C. Lysakowski, N. Elia,

Pressure-controlled ventilation improves oxygenation during laparoscopic obesity surgery compared with volume-controlled ventilation P. Cadi, T. Guenoun,

Volume 151, Issue 3, Pages e1 (September 2016)

P. Persson, O. Stenqvist, S. Lundin British Journal of Anaesthesia

Volume 140, Issue 1, Pages (July 2011)

Detection of optimal PEEP for equal distribution of tidal volume by volumetric capnography and electrical impedance tomography during decreasing levels.

Individual patient data analysis of tidal volumes used in three large randomized control trials involving patients with acute respiratory distress syndrome

Bcl-2-Like Protein 11 Deletion Polymorphism Predicts Survival in Advanced Non–Small- Cell Lung Cancer Jih-Hsiang Lee, MD, Yu-Lin Lin, MD, Wei-Hsun Hsu,

Hayes-Bradley C British Journal of Anaesthesia

Presentation transcript:

Electrical impedance tomography monitoring in acute respiratory distress syndrome patients with mechanical ventilation during prolonged positive end-expiratory pressure adjustments Chia-Fu Hsu, Jen-Suo Cheng, Wei-Chi Lin, Yen-Fen Ko, Kuo-Sheng Cheng, Sheng-Hsiang Lin, Chang-Wen Chen Journal of the Formosan Medical Association Volume 115, Issue 3, Pages 195-202 (March 2016) DOI: 10.1016/j.jfma.2015.03.001 Copyright © 2015 Terms and Conditions

Figure 1 Airway pressure (Paw) changes and concomitant changes in total impedance. Journal of the Formosan Medical Association 2016 115, 195-202DOI: (10.1016/j.jfma.2015.03.001) Copyright © 2015 Terms and Conditions

Figure 2 Changes in distribution of regional lung impedance during the recordings. The electrical impedance tomography image consists of 32 pixels × 32 pixels. Pixels with high impedance changes are displayed in white and pixels with low impedance changes are displayed in blue. These images were obtained at the end of positive end-expiratory pressure (PEEP) at baseline (PEEPB), low PEEP (PEEPL), and high PEEP (PEEPH). From PEEPB to PEEPL, the ventilation tended to increase in the ventral region. From PEEPL to PEEPH, the ventilation tended to increase in the dorsal region. Journal of the Formosan Medical Association 2016 115, 195-202DOI: (10.1016/j.jfma.2015.03.001) Copyright © 2015 Terms and Conditions

Figure 3 Changes in PaO2/fraction of inspired oxygen (P/F) ratio and end-expiratory lung impedance (ΔEELI) with positive end-expiratory pressure (PEEP) level. For the P/F ratio, there were significant differences (p < 0.05) between high PEEP (PEEPH) and low PEEP (PEEPL), PEEP at baseline (PEEPB) and PEEPL30, PEEPB and PEEPH30 and PEEPH60. A significant difference (p < 0.05) was also found between PEEPH5 and PEEPH60. For ΔEELI, there were significant differences between PEEPH and PEEPL, PEEPB and PEEPL, and PEEPB and PEEPH. There was also a significant difference (p < 0.05) between PEEPH5 and PEEPH60. Journal of the Formosan Medical Association 2016 115, 195-202DOI: (10.1016/j.jfma.2015.03.001) Copyright © 2015 Terms and Conditions

Figure 4 Regional lung ventilation distribution with positive end-expiratory pressure (PEEP) level. Ventilation shifted to the dorsal area with increasing PEEP. There were significant differences (all p < 0.05) in regional lung ventilation (Zones 1–4) between PEEP at baseline (PEEPB) and low PEEP (PEEPL), PEEPB and high PEEP (PEEPH), and PEEPH and PEEPL. There were no significant differences among individual PEEP levels (within PEEPH or PEEPL). Journal of the Formosan Medical Association 2016 115, 195-202DOI: (10.1016/j.jfma.2015.03.001) Copyright © 2015 Terms and Conditions

Figure 5 Regional end-expiratory lung impedance change (ΔEELI) with positive end-expiratory pressure (PEEP) level. There were significant differences in tidal ΔEELI between PEEP at baseline (PEEPB) and PEEPH, PEEPB and low PEEP (PEEPL), and high PEEP (PEEPH) and PEEPL. However, no differences were found in ΔEELI between individual PEEP levels (within PEEPL or PEEPH). Journal of the Formosan Medical Association 2016 115, 195-202DOI: (10.1016/j.jfma.2015.03.001) Copyright © 2015 Terms and Conditions

Figure 6 Correlation plot between arterial oxygenation and end-expiratory lung impedance change (ΔEELI) in 19 cases; r2 = 0.5097, p < 0.0001. P/F ratio = PaO2/fraction of inspired oxygen. Journal of the Formosan Medical Association 2016 115, 195-202DOI: (10.1016/j.jfma.2015.03.001) Copyright © 2015 Terms and Conditions