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BMC Pulm Med ; 21(1): 38, 2021 Jan 22.
Article in English | MEDLINE | ID: covidwho-1044906

ABSTRACT

BACKGROUND: Clinical management of COVID-19 requires close monitoring of lung function. While computed tomography (CT) offers ideal way to identify the phenotypes, it cannot monitor the patient response to therapeutic interventions. We present a case of ventilation management for a COVID-19 patient where electrical impedance tomography (EIT) was used to personalize care. CASE PRESENTATION: The patient developed acute respiratory distress syndrome, required invasive mechanical ventilation, and was subsequently weaned. EIT was used multiple times: to titrate the positive end-expiratory pressure, understand the influence of body position, and guide the support levels during weaning and after extubation. We show how EIT provides bedside monitoring of the patient´s response to various therapeutic interventions and helps guide treatments. CONCLUSION: EIT provides unique information that may help the ventilation management in the pandemic of COVID-19.


Subject(s)
COVID-19/diagnostic imaging , Electric Impedance , Lung/diagnostic imaging , Patient Positioning/methods , Respiration, Artificial/methods , Respiratory Distress Syndrome/diagnostic imaging , Tomography/methods , COVID-19/physiopathology , COVID-19/therapy , Humans , Male , Middle Aged , Positive-Pressure Respiration/methods , Respiratory Distress Syndrome/physiopathology , Respiratory Distress Syndrome/therapy , SARS-CoV-2 , Ventilator Weaning/methods
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