Use of thoracic electrical impedance tomography as an auxiliary tool for alveolar recruitment maneuvers in acute respiratory distress syndrome: case report and brief literature review - Critical Care Science (CCS)
Use of thoracic electrical impedance tomography as an auxiliary tool for alveolar recruitment maneuvers in acute respiratory distress syndrome: case report and brief literature review
Thoracic electrical impedance tomography is a real-time, noninvasive monitoring tool of the regional pulmonary ventilation distribution. Its bedside use in patients with acute respiratory distress syndrome has the potential to aid in alveolar recruitment maneuvers, which are often necessary in cases of refractory hypoxemia. In this case report, we describe the monitoring results and interpretation of thoracic electrical impedance tomography used during alveolar recruitment maneuvers in a patient with acute respiratory distress syndrome, with transient application of high alveolar pressures and optimal positive end-expiratory pressure titration. Furthermore, we provide a brief literature review regarding the use of alveolar recruitment maneuvers and monitoring using thoracic electrical impedance tomography in patients with acute respiratory distress syndrome.
Rosa RG, Rutzen W, Madeira L, Ascoli AM, Dexheimer Neto FL, Maccari JG, Oliveira RP, et al. Use of thoracic electrical impedance tomography as an auxiliary tool for alveolar recruitment maneuvers in acute respiratory distress syndrome: case report and brief literature review. Rev Bras Ter Intensiva 2015;27(4):406-11.
Electronic Document Format (ABNT)
Rosa, Regis Goulart; Rutzen, William; Madeira, Laura; Ascoli, Aline Maria; Dexheimer Neto, Felippe Leopoldo; Maccari, Juçara Gasparetto; Oliveira, Roselaine Pinheiro de; Teixeira, Cassiano. Use of thoracic electrical impedance tomography as an auxiliary tool for alveolar recruitment maneuvers in acute respiratory distress syndrome: case report and brief literature review. Rev Bras Ter Intensiva, v. 27, n. 4, p. 406-411, Jan. 2015.
Electronic Document Format (APA)
Rosa, R. G., Rutzen, W., Madeira, L., Ascoli, A. M., Dexheimer Neto, F. L., Maccari, J. G., Oliveira, R. P. , & Teixeira, C. (2015). Use of thoracic electrical impedance tomography as an auxiliary tool for alveolar recruitment maneuvers in acute respiratory distress syndrome: case report and brief literature review. Rev Bras Ter Intensiva, 27(4), 406-411.
Electronic Document Format (ISO)
Rosa, Regis Goulart and Rutzen, William and Madeira, Laura and Ascoli, Aline Maria and Dexheimer Neto, Felippe Leopoldo and Maccari, Juçara Gasparetto and Oliveira, Roselaine Pinheiro de and Teixeira, Cassiano. Use of thoracic electrical impedance tomography as an auxiliary tool for alveolar recruitment maneuvers in acute respiratory distress syndrome: case report and brief literature review. Rev Bras Ter Intensiva [online]. 2015, vol. 27, n. 4, [cited 2024-07-03], pp.406-411. Available from: <https://criticalcarescience.org/article/use-of-thoracic-electrical-impedance-tomography-as-an-auxiliary-tool-for-alveolar-recruitment-maneuvers-in-acute-respiratory-distress-syndrome-case-report-and-brief-literature-review/>.
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Figura 1 | Posicionamento dos eletrodos da tomografia por impedância elétrica de tórax.
Os eletrodos da tomografia por impedância elétrica são fixados à parede torácica por meio de uma cinta posicionada ao longo da circunferência torácica próxima ao nível da linha mamária (entre o quarto e o quinto espaço intercostal). Também são conectados ao monitor da tomografia por impedância elétrica um sensor de fluxo posicionado entre o tubo endotraqueal e o "Y" do circuito do ventilador, além dos eletrodos do eletrocardiograma (não demonstrados nesta figura). TIE: tomografia por impedância elétrica.
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