• Regis Goulart Rosa, William Rutzen, Laura Madeira, Aline Maria Ascoli, Felippe Leopoldo Dexheimer Neto, Juçara Gasparetto Maccari, Oliveira Roselaine Pinheiro de RP Departamento de Medicina Intensiva, Hospital Moinhos de Vento, Porto Alegre, RS, Brazil., and Cassiano Teixeira.
• Departamento de Medicina Intensiva, Hospital Moinhos de Vento, Porto Alegre, RS, Brazil.
• Rev Bras Ter Intensiva. 2015 Oct 1; 27 (4): 406-11.

AbstractThoracic electrical impedance tomography is a real-time, noninvasive monitoring tool of the regional pulmonary ventilation distribution. Its bedside use in patients with acute respiratory distress syndrome has the potential to aid in alveolar recruitment maneuvers, which are often necessary in cases of refractory hypoxemia. In this case report, we describe the monitoring results and interpretation of thoracic electrical impedance tomography used during alveolar recruitment maneuvers in a patient with acute respiratory distress syndrome, with transient application of high alveolar pressures and optimal positive end-expiratory pressure titration. Furthermore, we provide a brief literature review regarding the use of alveolar recruitment maneuvers and monitoring using thoracic electrical impedance tomography in patients with acute respiratory distress syndrome.

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