Abstract
Electrical impedance tomography (EIT) has the potential to become a bedside tool for monitoring and guiding ventilator therapy, as well as tracking the development of chronic lung diseases. This paper describes the measurement principle of this novel technique and an overview of the applications of pulmonary EIT in the intensive care unit, including monitoring of ventilation and ventilator-induced lung injury, EIT-guided lung-protective ventilation and pulmonary perfusion. Limitations that hinder EIT to become a routinely used tool in a clinical setting are briefly discussed.
The original version of this chapter was inadvertently published with an incorrect chapter pagination 1253–1257 and DOI 10.1007/978-3-319-32703-7_240. The page range and the DOI has been re-assigned. The correct page range is 1259–1263 and the DOI is 10.1007/978-3-319-32703-7_241. The erratum to this chapter is available at DOI: 10.1007/978-3-319-32703-7_260
An erratum to this chapter can be found at http://dx.doi.org/10.1007/978-3-319-32703-7_260
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Barber DC, Brown BH (1984) Applied potential tomography. J Phys E: Sci Instrum 17: 723-733
Xu C, Dai M, You F, et al. (2011) An optimized strategy for real-time hemorrhage monitoring with electrical impedance tomography. Physiol Meas 32: 585-598
Dowrick T, Blochet C, Holder D (2015) In vivo bioimpedance measurement of healthy and ischaemic rat brain: implications for stroke imaging using electrical impedance tomography. Physiol Meas 36: 1273-1282
Ma J, Xu C, Dai M, et al. (2014) Exploratory study on the methodology of fast imaging of unilateral stroke lesions by electrical impedance asymmetry in human heads. ScientificWorldJournal 2014: 534012
Halter RJ, Hartov A, Poplack SP, et al. (2015) Real-time electrical impedance variations in women with and without breast cancer. IEEE Trans Med Imaging 34: 38-48
Trokhanova OV, Okhapkin MB, Korjenevsky AV (2008) Dual-frequency electrical impedance mammography for the diagnosis of non-malignant breast disease. Physiol Meas 29: S331-344
Leonhardt S, Cordes A, Plewa H, et al. (2011) Electric impedance tomography for monitoring volume and size of the urinary bladder. Biomed Tech (Berl) 56: 301-307
Li R, Gao J, Zhao Z, et al. (In press) A preliminary study of assessing bladder urinary volume using electrical impedance tomography. J Med Biol Eng
Zhao Z, Steinmann D, Frerichs I, et al. (2010) PEEP titration guided by ventilation homogeneity: a feasibility study using electrical impedance tomography. Crit Care 14: R8
Luepschen H, Meier T, Grossherr M, et al. (2007) Protective ventilation using electrical impedance tomography. Physiol Meas 28: S247-260
Vogt B, Pulletz S, Elke G, et al. (2012) Spatial and temporal heterogeneity of regional lung ventilation determined by electrical impedance tomography during pulmonary function testing. J Appl Physiol 113: 1154-1161
Zhao Z, Fischer R, Frerichs I, et al. (2012) Regional ventilation in cystic fibrosis measured by electrical impedance tomography. J Cyst Fibros 11: 412-418
Nopp P, Rapp E, Pfutzner H, et al. (1993) Dielectric properties of lung tissue as a function of air content. Phys Med Biol 38: 699-716
Brown BH, Barber DC, Morice AH, Leathard AD (1994) Cardiac and respiratory related electrical impedance changes in the human thorax. IEEE Trans Biomed Eng 41: 729-734
Krueger-Ziolek S, Schullcke B, Kretschmer J, et al. (2015) Positioning of electrode plane systematically influences EIT imaging. Physiol Meas 36: 1109-1118
Slutsky AS (2005) Ventilator-induced lung injury: from barotrauma to biotrauma. Respir Care 50: 646-659
Wrigge H, Zinserling J, Muders T, et al. (2008) Electrical impedance tomography compared with thoracic computed tomography during a slow inflation maneuver in experimental models of lung injury. Crit Care Med 36: 903-909
Muders T, Luepschen H, Zinserling J, et al. (2012) Tidal recruitment assessed by electrical impedance tomography and computed tomography in a porcine model of lung injury*. Crit Care Med 40: 903-911
Lowhagen K, Lindgren S, Odenstedt H, et al. (2011) Prolonged moderate pressure recruitment manoeuvre results in lower optimal positive end-expiratory pressure and plateau pressure. Acta Anaesthesiol Scand 55: 175-184
Costa EL, Borges JB, Melo A, et al. (2009) Bedside estimation of recruitable alveolar collapse and hyperdistension by electrical impedance tomography. Intensive Care Med 35: 1132-1137
Hinz J, Moerer O, Neumann P, et al. (2006) Regional pulmonary pressure volume curves in mechanically ventilated patients with acute respiratory failure measured by electrical impedance tomography. Acta Anaesthesiol Scand 50: 331-339
Mauri T, Eronia N, Abbruzzese C, et al. (2015) Effects of Sigh on Regional Lung Strain and Ventilation Heterogeneity in Acute Respiratory Failure Patients Undergoing Assisted Mechanical Ventilation. Crit Care Med 43: 1823-1831
van Genderingen HR, van Vught AJ, Jansen JR (2004) Regional lung volume during high-frequency oscillatory ventilation by electrical impedance tomography. Crit Care Med 32: 787-794
Frerichs I, Achtzehn U, Pechmann A, et al. (2012) High-frequency oscillatory ventilation in patients with acute exacerbation of chronic obstructive pulmonary disease. J Crit Care 27: 172-181
Heinrich S, Schiffmann H, Frerichs A, et al. (2006) Body and head position effects on regional lung ventilation in infants: An electrical impedance tomography study. Intensive Care Med 32: 1392-1398
van der Burg PS, Miedema M, de Jongh FH, et al. (2015) Changes in lung volume and ventilation following transition from invasive to noninvasive respiratory support and prone positioning in preterm infants. Pediatr Res 77: 484-488
Frerichs I, Pulletz S, Elke G, et al. (2009) Assessment of changes in distribution of lung perfusion by electrical impedance tomography. Respiration 77: 282-291
Fagerberg A, Stenqvist O, Aneman A (2009) Monitoring pulmonary perfusion by electrical impedance tomography: an evaluation in a pig model. Acta Anaesthesiol Scand 53: 152-158
Borges JB, Suarez-Sipmann F, Bohm SH, et al. (2012) Regional lung perfusion estimated by electrical impedance tomography in a piglet model of lung collapse. J Appl Physiol (1985) 112: 225-236
Zhao Z, Muller-Lisse U, Frerichs I, et al. (2013) Regional airway obstruction in cystic fibrosis determined by electrical impedance tomography in comparison with high resolution CT. Physiol Meas 34: N107-114
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Zhao, Z., Möller, K. (2016). Chest Electrical Impedance Tomography and Its Clinical Applications. In: Kyriacou, E., Christofides, S., Pattichis, C. (eds) XIV Mediterranean Conference on Medical and Biological Engineering and Computing 2016. IFMBE Proceedings, vol 57. Springer, Cham. https://doi.org/10.1007/978-3-319-32703-7_241
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