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What’s new in electrical impedance tomography

  • Tommaso Mauri
  • Alain Mercat
  • Giacomo Grasselli
What's New in Intensive Care

Introduction

Electrical impedance tomography (EIT) is a dynamic, non-invasive, radiation-free, bedside lung imaging technique. Based on the application of alternate microcurrents spinning at 20–50 Hz along a set of electrodes (16 or 32, depending on the system) positioned around the patient’s thorax, EIT allows continuous tomographic mapping of the changes in regional gas content inside the chest. This technique provides several relevant physiologic measures, including regional tidal volume, heterogeneity of ventilation distribution, gravitational distribution of respiratory system compliance, as well as pulmonary perfusion, cardiac output, and central intravascular volume status. We present here the most recent advances at the crossroad between physiologic understanding and clinical applications.

EIT to guide PEEP setting

In patients with the acute respiratory distress syndrome (ARDS), positive end-expiratory pressure (PEEP) is a critical component of protective mechanical...

Notes

Compliance with ethical standards

Conflicts of interest

Tommaso Mauri received payment for lectures from Draeger Medical (unrelated to the present work). Alain Mercat declares no conflicts of interest. Giacomo Grasselli received payment for lectures from Getinge, Draeger Medical, Pfizer, and Fisher & Paykel, and travel-congress registration support from Getinge and Biotest (all unrelated to the present work).

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature and ESICM 2018

Authors and Affiliations

  1. 1.Department of Anesthesiology, Intensive Care and EmergencyFondazione IRCCS Ca’ Granda Ospedale Maggiore PoliclinicoMilanItaly
  2. 2.Department of Pathophysiology and TransplantationUniversity of MilanMilanItaly
  3. 3.Département de Médecine Intensive-Réanimation, CHU d’AngersUniversité d’AngersAngersFrance

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