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BMC pulmonary medicine · Jan 2021
Case ReportsThe use of electrical impedance tomography for individualized ventilation strategy in COVID-19: a case report.
- Zhanqi Zhao, Jin-Shou Zhang, Ying-Tzu Chen, Hou-Tai Chang, Yeong-Long Hsu, Inéz Frerichs, and Andy Adler.
- Department of Biomedical Engineering, Fourth Military Medical University, Xi'an, China.
- BMC Pulm Med. 2021 Jan 22; 21 (1): 38.
BackgroundClinical 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 PresentationThe 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.ConclusionEIT provides unique information that may help the ventilation management in the pandemic of COVID-19.
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