肺电阻抗成像技术在个体化呼气末正压通气中的应用进展

孙高悦; 李云

doi:10.7619/jcmp.20230745

肺电阻抗成像技术在个体化呼气末正压通气中的应用进展

孙高悦,
李云^,

安徽医科大学第二附属医院麻醉与围术期医学科, 安徽合肥, 230601

基金项目:

安徽高校自然科学研究项目 KJ2019ZD24

详细信息

通讯作者:
李云, E-mail: yunli_001@aliyun.com

中图分类号: R614;R563.4
计量
- 文章访问数: 140
- HTML全文浏览量: 41
- PDF下载量: 20
出版历程
- 收稿日期: 2023-03-09
- 修回日期: 2023-05-18
- 网络出版日期: 2023-09-18
- 刊出日期: 2023-09-14

Application progress of electrical impedance tomographyin in individualized positive end-expiratory pressure

SUN Gaoyue,
LI Yun^,

Department of Anesthesia and Perioperative Medicine, the Second Affiliated Hospital of Anhui Medical University, Hefei, Anhui, 230601

摘要

摘要:
电阻抗成像技术(EIT)通过获取患者肺生物阻抗变化, 能够无创、无辐射、实时监测肺内通气情况, 可指导机械通气中个体化呼气末正压(PEEP)的设定。EIT与肺顺应性、驱动压、肺超声等滴定个体化PEEP的方式相比, 具有可视化、实时动态观察肺总体与局部通气情况等优点。本文综述了EIT的原理、PEEP的作用以及利用EIT参数指导个体化PEEP的设定及其设定中的局限性, 以期为EIT的临床应用提供参考。
- 肺保护性通气策略 /
- 电阻抗成像技术 /
- 呼气末正压 /
- 肺功能 /
- 通气分布
Abstract:
Electrical impedance tomography (EIT) can monitor pulmonary ventilation in real time and non-invasions by obtaining the changes of pulmonary bioimpedance. It can guide the setting of individualized positiveend-expiratory pressure (PEEP) in mechanical ventilation. Compared with the methods of titrating individual PEEP such as lung compliance, driving pressure and pulmonary ultrasound, EIT has the advantages of visualization, real-time dynamic observation of the overall and local lung ventilation. This paper reviewed the principle of EIT, the function of PEEP, the setting of individualized PEEP with EIT parameters and its limitations, in order to provide reference for the clinical application of EIT.
- lung-protective ventilation strategy /
- electrical impedance tomography /
- positive end-expiratory pressure /
- lung function /
- distribution of ventilation

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参考文献(38)

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