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Lung Recruitment Assessed by Electrical Impedance Tomography (RECRUIT): A Multicenter Study of COVID-19 Acute Respiratory Distress Syndrome
Jonkman, A.H., et al. American Journal for Respiratory and Critical Care Medicine. 2023.
In this multicenter study, EIT allowed personalized PEEP setting as a compromise between recruitability and overdistension (crossing point method) in 108 COVID-19 ARDS patients.
Personalized Positive End-Expiratory Pressure in Acute Respiratory Distress Syndrome: Comparison Between Optimal Distribution of Regional Ventilation and Positive Transpulmonary Pressure
Scaramuzzo, G., et al. Critical Care Medicine. 2020.
This study compared two methods of selecting personalized PEEP in ARDS patients: EIT based on the total amount of hypoventilated lung units ("Silent Spaces") and transpulmonary pressure (PL). EIT could guide PEEP selection based on optimal homogeneity of ventilation distribution.
Chest electrical impedance tomography examination, data analysis, terminology, clinical use and recommendations: consensus statement of the TRanslational EIT developmeNt stuDy group
Frerichs, I., et al. Thorax. 2017.
This consensus paper, prepared by the TREND group, provides consensus on clinical applications (neonatal, pediatric, and adult), unified terminology, and analysis methods for EIT. Additionally, it reviews all major work in thoracic EIT and provides recommendations for future development.
Imaging the Respiratory Transition at Birth: Unraveling the Complexities of the First Breaths of Life
Tingay, D.G., et al. American Journal for Respiratory and Critical Care Medicine. 2021.
Explored EIT as the first imaging modality to monitor the neonatal respiratory transition immediately after birth, providing insights into early lung function and potential implications for interventions in the delivery room.
The DELUX study: development of lung volumes during extubation of preterm infants
Plastina, L., et al. Pediatric Research. 2022.
Investigated changes in lung volumes during extubation of very preterm infants using EIT. Extubation was associated with significant changes in EELI (correlated to FRC). Re-recruitment of lung volume began immediately after initiating non-invasive ventilation.
Prolonged Continuous Monitoring of Regional Lung Function in Infants with Respiratory Failure
Becher, T.H., et al. Annals of the American Thoracic Society. 2022.
EIT allowed continuous monitoring of regional lung function in 200 neonates and infants for up to 72 hours with minimal adverse skin integrity effects. The study confirmed posture-dependent changes in ventilation distribution and their dependency on postmenstrual age.
Clinical performance of a novel textile interface for neonatal chest electrical impedance tomography
Sophocleous, L. , et al. Physiological Measurement. 2018.
The Sentec textile EIT belt for neonates and infants was tested to validate its clinical performance. The results indicate that the textile electrode interface is suitable for chest EIT imaging between 24 and 72 hours in duration. It did not cause any distress or discomfort in the preterm infants.
Noninvasive Monitoring of Carbon Dioxide During Mechanical Ventilation in Older Children: End-Tidal Versus Transcutaneous Techniques
Berkenbosch J, et al. Anesthesia & Analgesia. 2001.
Transcutaneous CO2 monitoring provided an accurate estimation of PaCO2 over a wide range of CO2 values and was superior to etCO2 monitoring in older pediatric patients with respiratory failure.
Superiority of transcutaneous CO2 over end-tidal CO2 measurements for monitoring respiratory failure in nonintubated patients: A pilot study
Lermuzeaux, M, et al. Journal of Critical Care. 2016.
Large differences were found between etCO2 and PaCO2 in spontaneously breathing nonintubated ICU patients admitted for acute respiratory failure. The study argues against the use of etCO2 monitoring in such patients but raises the possibility that PtcCO2 measurement may provide reasonable estimates
Continuous non-invasive PCO2 monitoring in weaning patients: Transcutaneous is advantageous over end-tidal PCO2
Schwarz S, et al. Respirology. 2017.
"Our data therefore support PtcCO2 as a suitable means for monitoring PCO2 in patients undergoing invasive MV. This is in contrast to PetCO2, which clearly underestimated PaCO2, especially in patients with COPD."
