The use of electrical impedance tomography for individualized ventilation strategy in COVID-19: a case report.
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.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Respiration, Artificial
/
Respiratory Distress Syndrome
/
Tomography
/
Electric Impedance
/
Patient Positioning
/
COVID-19
/
Lung
Type of study:
Case report
/
Prognostic study
Limits:
Humans
/
Male
/
Middle aged
Language:
English
Journal:
BMC Pulm Med
Year:
2021
Document Type:
Article
Affiliation country:
S12890-021-01411-y
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