Electrical impedance tomography monitoring in adult ICU patients: state-of-the-art, recommendations for standardized acquisition, processing, and clinical use, and future directions

IF 8.8 1区医学 Q1 CRITICAL CARE MEDICINE

Critical Care Pub Date : 2024-11-19 DOI:10.1186/s13054-024-05173-x

Gaetano Scaramuzzo, Bertrand Pavlovsky, Andy Adler, Walter Baccinelli, Dani L. Bodor, L. Felipe Damiani, Guillaume Franchineau, Juliette Francovich, Inéz Frerichs, Juan A. Sánchez Giralt, Bartłomiej Grychtol, Huaiwu He, Bhushan H. Katira, Alette A. Koopman, Steffen Leonhardt, Luca S. Menga, Amne Mousa, Mariangela Pellegrini, Thomas Piraino, Paolo Priani, Peter Somhorst, Elena Spinelli, Claas Händel, Fernando Suárez-Sipmann, Jantine J. Wisse, Tobias Becher, Annemijn H. Jonkman

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引用次数: 0

Abstract

Electrical impedance tomography (EIT) is an emerging technology for the non-invasive monitoring of regional distribution of ventilation and perfusion, offering real-time and continuous data that can greatly enhance our understanding and management of various respiratory conditions and lung perfusion. Its application may be especially beneficial for critically ill mechanically ventilated patients. Despite its potential, clear evidence of clinical benefits is still lacking, in part due to a lack of standardization and transparent reporting, which is essential for ensuring reproducible research and enhancing the use of EIT for personalized mechanical ventilation. This report is the result of a four-day expert meeting where we aimed to promote the consistent and reliable use of EIT, facilitating its integration into both clinical practice and research, focusing on the adult intensive care patient. We discuss the state-of-the-art regarding EIT acquisition and processing, applications during controlled ventilation and spontaneous breathing, ventilation-perfusion assessment, and novel future directions.

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成人重症监护病房患者的电阻抗断层扫描监测：最新技术、标准化采集、处理和临床使用建议以及未来方向

电阻抗断层扫描（EIT）是一种新兴技术，可用于无创监测通气和灌注的区域分布，提供实时和连续的数据，大大提高我们对各种呼吸系统疾病和肺灌注的了解和管理。该技术的应用对重症机械通气患者尤为有益。尽管其潜力巨大，但仍缺乏临床获益的明确证据，部分原因是缺乏标准化和透明的报告，而标准化和透明的报告对于确保研究的可重复性和加强 EIT 在个性化机械通气中的应用至关重要。本报告是为期四天的专家会议的成果，我们在会上以成人重症监护患者为重点，旨在推广 EIT 的一致和可靠使用，促进其与临床实践和研究的结合。我们讨论了有关 EIT 采集和处理、控制通气和自主呼吸期间的应用、通气灌注评估以及未来新方向的最新进展。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Critical Care 医学-危重病医学

CiteScore

20.60

自引率

3.30%

发文量

348

审稿时长

1.5 months

期刊介绍： Critical Care is an esteemed international medical journal that undergoes a rigorous peer-review process to maintain its high quality standards. Its primary objective is to enhance the healthcare services offered to critically ill patients. To achieve this, the journal focuses on gathering, exchanging, disseminating, and endorsing evidence-based information that is highly relevant to intensivists. By doing so, Critical Care seeks to provide a thorough and inclusive examination of the intensive care field.