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Unilateral atelectasis in a preterm infant monitored with electrical impedance tomography: a case report

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Electrical impedance tomography (EIT) is a non-invasive, radiation-free tool to monitor regional changes in ventilation. This report describes, for the first time, that unilateral atelectasis in an extremely low birth weight infant results in a loss of regional ventilation measured by EIT in the affected lung.

Conclusion: EIT is currently the most promising technique to monitor regional lung aeration continuously at the bedside in this vulnerable population.

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Chest X-ray


Electrical impedance tomography


Functional electrical impedance tomography


Nasal continuous positive airway pressure


  1. Finer NN, Moriartey RR, Boyd J, Phillips HJ, Stewart AR, Ulan O (1979) Post extubation atelectasis: a retrospective review and a prospective controlled study. J Pediatr 94:110–113

    Article  CAS  PubMed  Google Scholar 

  2. Frerichs I, Golisch W, Hahn G, Kurpitz M, Burchardi H, Hellige G (1998) Heterogeneous distribution of pulmonary ventilation in intensive care patients detected by functional electrical impedance tomography. J Intensive Care Med 13:168–173

    Google Scholar 

  3. Frerichs I, Hahn G, Schröder T, Hellige G (1998) Electrical impedance tomography in monitoring experimental lung injury. Intensive Care Med 24:829–836

    Article  CAS  PubMed  Google Scholar 

  4. Kuhns LR, Poznanski AK (1971) Endotracheal tube position in the infant. J Pediatr 78:991–996

    Article  CAS  PubMed  Google Scholar 

  5. Lovrenski J (2012) Lung ultrasonography of pulmonary complications in preterm infants with respiratory distress syndrome. Ups J Med Sci 117:10–17

    Article  PubMed Central  PubMed  Google Scholar 

  6. Miedema M, Frerichs I, de Jongh FH, van Kaam AH (2011) Pneumothorax in a preterm infant monitored by electrical impedance tomography: a case report. Neonatology 99:10–13

    Article  CAS  PubMed  Google Scholar 

  7. Puch-Kapst K, Juran R, Stoever B, Wauer RR (2009) Radiation exposure in 212 very low and extremely low birth weight infants. Pediatrics 124:1556–1564

    Article  PubMed  Google Scholar 

  8. Victorino JA, Borges JB, Okamoto VN, Matos GF, Tucci MR, Caramez MP, Tanaka H, Suarez Sipmann F, Santos DC, Barbas CS, Carvalho CR, Amato MB (2004) Imbalances in regional lung ventilation: a validation study on electrical impedance tomography. Am J Respir Crit Care Med 169:791–800

    Article  PubMed  Google Scholar 

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Ethical statement

This study has been approved by the institutional review board and has therefore been performed in accordance with the ethical standards as described in the 1964 Declaration of Helsinki and its later amendments. Both parents of both infants have given their informed consent prior to inclusion in the study.

Financial disclosure

None of the authors have financial relationships to disclose.

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Corresponding author

Correspondence to P. S. van der Burg.

Additional information

Communicated by Patrick Van Reempts

This work was financially supported by Chiesi Pharmaceutical.

The EIT device was kindly provided by CareFusion.

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van der Burg, P.S., Miedema, M., de Jongh, F.H. et al. Unilateral atelectasis in a preterm infant monitored with electrical impedance tomography: a case report. Eur J Pediatr 173, 1715–1717 (2014).

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