Whither lung EIT: Where are we, where do we want to go and what do we need to get there?

被引:133
作者
Adler, Andy [1 ]
Amato, Marcelo B. [2 ]
Arnold, John H. [3 ]
Bayford, Richard [4 ]
Bodenstein, Marc [5 ]
Boehm, Stephan H. [6 ]
Brown, Brian H. [7 ]
Frerichs, Inez [8 ]
Stenqvist, Ola [9 ]
Weiler, Norbert [8 ]
Wolf, Gerhard K. [3 ]
机构
[1] Carleton Univ, Ottawa, ON K1S 5B6, Canada
[2] Univ Sao Paulo, Hosp Clin, Div Pulm, Resp Intens Care Unit, BR-05508 Sao Paulo, Brazil
[3] Harvard Univ, Sch Med, Dept Anesthesia, Div Crit Care Med,Childrens Hosp Boston, Boston, MA 02115 USA
[4] Middlesex Univ, Dept Nat Sci, London N17 8HR, England
[5] Univ Med Mainz, Anasthesiol Klin, Mainz, Germany
[6] Swisstom AG, Landquart, Switzerland
[7] Univ Sheffield, Sheffield S10 2TN, S Yorkshire, England
[8] Univ Med Ctr Schleswig Holstein, Dept Anaesthesiol & Intens Care Med, Kiel, Germany
[9] Sahlgrens Univ Hosp, Dept Anaesthesia & Intens Care Med, Gothenburg, Sweden
关键词
electrical impedance tomography; lung protective ventilation; ELECTRICAL-IMPEDANCE TOMOGRAPHY; FREQUENCY OSCILLATORY VENTILATION; REGIONAL VENTILATION; PULMONARY PERFUSION; FUNCTIONAL EIT; BORN INFANTS; VOLUME; INJURY; PRESSURE; PRETERM;
D O I
10.1088/0967-3334/33/5/679
中图分类号
Q6 [生物物理学];
学科分类号
071011 ;
摘要
Breathing moves volumes of electrically insulating air into and out of the lungs, producing conductivity changes which can be seen by electrical impedance tomography (EIT). It has thus been apparent, since the early days of EIT research, that imaging of ventilation could become a key clinical application of EIT. In this paper, we review the current state and future prospects for lung EIT, by a synthesis of the presentations of the authors at the 'special lung sessions' of the annual biomedical EIT conferences in 2009-2011. We argue that lung EIT research has arrived at an important transition. It is now clear that valid and reproducible physiological information is available from EIT lung images. We must now ask the question: How can these data be used to help improve patient outcomes? To answer this question, we develop a classification of possible clinical scenarios in which EIT could play an important role, and we identify clinical and experimental research programmes and engineering developments required to turn EIT into a clinically useful tool for lung monitoring.
引用
收藏
页码:679 / 694
页数:16
相关论文
共 50 条
[21]   Rapid eye movement related obstructive sleep apnea: Where do we stand? [J].
Rishi, Abdul Rehman ;
Rishi, Muhammad Adeel .
RESPIRATORY INVESTIGATION, 2021, 59 (05) :589-595
[22]   Cilostazol for the treatment of distal symmetrical polyneuropathy in diabetes mellitus: Where do we stand? [J].
Pantazopoulos, Dimitrios ;
Gouveri, Evanthia ;
Rizzo, Manfredi ;
Papanas, Nikolaos .
JOURNAL OF DIABETES AND ITS COMPLICATIONS, 2024, 38 (12)
[23]   The Role of Intraoperative Nerve Monitoring (IONM) in Thyroidectomy Where Do We Stand Today? [J].
Moris, Demetrios ;
Vernadakis, Spiridon ;
Felekouras, Evangelos .
SURGICAL INNOVATION, 2014, 21 (01) :98-105
[24]   Hepatotoxicity induced by acute and chronic paracetamol overdose in children: Where do we stand? [J].
Tong, Hoi Yan ;
Medrano, Nicolas ;
Borobia, Alberto Manuel ;
Ruiz, Jose Antonio ;
Martinez, Ana Maria ;
Martin, Julia ;
Quintana, Manuel ;
Garcia, Santos ;
Carcas, Antonio Jose ;
Ramirez, Elena .
WORLD JOURNAL OF PEDIATRICS, 2017, 13 (01) :76-83
[25]   Management of Patent Ductus Arteriosus in Preterm Infants-Where Do We Stand? [J].
Mitra, Souvik ;
Ronnestad, Arild ;
Holmstrom, Henrik .
CONGENITAL HEART DISEASE, 2013, 8 (06) :500-512
[26]   Current practices in biliary surgery: Do we practice what we teach? [J].
Shaun C. Daly ;
Daniel J. Deziel ;
Xuan Li ;
Milot Thaqi ;
Keith W. Millikan ;
Jonathan A. Myers ;
Steven Bonomo ;
Minh B. Luu .
Surgical Endoscopy, 2016, 30 :3345-3350
[27]   Oxygen and preterm infant resuscitation: what else do we need to know? [J].
Oei, Ju-Lee ;
Saugstad, Ola D. ;
Vento, Maximo .
CURRENT OPINION IN PEDIATRICS, 2018, 30 (02) :192-198
[28]   Current practices in biliary surgery: Do we practice what we teach? [J].
Daly, Shaun C. ;
Deziel, Daniel J. ;
Li, Xuan ;
Thaqi, Milot ;
Millikan, Keith W. ;
Myers, Jonathan A. ;
Bonomo, Steven ;
Luu, Minh B. .
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2016, 30 (08) :3345-3350
[29]   Probiotics in neonates: What do we know? [J].
Rangarajan, Sunil .
NUTRITION, 2014, 30 (7-8) :955-956
[30]   Protecting podocytes: how good do we need to be? [J].
Lemley, Kevin V. .
KIDNEY INTERNATIONAL, 2012, 81 (01) :9-11