[Electrical impedance tomography in acute lung injury].

Abstract:

:Electrical impedance tomography has been described as a new method of monitoring critically ill patients on mechanical ventilation. It has recently gained special interest because of its applicability for monitoring ventilation and pulmonary perfusion. Its bedside and continuous implementation, and the fact that it is a non-ionizing and non-invasive technique, makes it an extremely attractive measurement tool. Likewise, given its ability to assess the regional characteristics of lung structure, it could be considered an ideal monitoring tool in the heterogeneous lung with acute lung injury. This review explains the physical concept of bioimpedance and its clinical application, and summarizes the scientific evidence published to date with regard to the implementation of electrical impedance tomography as a method for monitoring ventilation and perfusion, mainly in the patient with acute lung injury, and other possible applications of the technique in the critically ill patient. The review also summarizes the limitations of the technique and its potential areas of future development.

journal_name

Med Intensiva

journal_title

Medicina intensiva

authors

Riera J,Riu PJ,Casan P,Masclans JR

doi

10.1016/j.medin.2011.05.005

subject

Has Abstract

pub_date

2011-11-01 00:00:00

pages

509-17

issue

8

eissn

0210-5691

issn

1578-6749

pii

S0210-5691(11)00146-X

journal_volume

35

pub_type

杂志文章,评审
  • Enteral nutrition in the hemodynamically unstable critically ill patient.

    abstract::The benefit of enteral nutrition in critically ill patients has been demonstrated by several studies, especially when it is started early, in the first 24-48h of stay in the Intensive Care Unit, and this practice is currently advised by the main clinical guidelines. The start of enteral nutrition is controversial in p...

    journal_title:Medicina intensiva

    pub_type: 杂志文章,评审

    doi:10.1016/j.medin.2014.04.002

    authors: Flordelís Lasierra JL,Pérez-Vela JL,Montejo González JC

    更新日期:2015-01-01 00:00:00

  • Hemodynamic resuscitation with fluids bolus and norepinephrine increases severity of lung damage in an experimental model of septic shock.

    abstract:OBJECTIVE:Hemodynamic resuscitation is considered a cornerstone of the initial treatment of septic shock. However, there is growing concern about its side effects. Our objective was to assess the relationship between fluid administration and norepinephrine infusion and the development of lung injury. DESIGN:Randomized...

    journal_title:Medicina intensiva

    pub_type: 杂志文章

    doi:10.1016/j.medin.2020.05.011

    authors: Guijo Gonzalez P,Gracia Romero MA,Gil Cano A,Garcia Rojo M,Cecconi M,Monge Garcia IM

    更新日期:2020-07-24 00:00:00

  • [Results of an artificial airway management protocol in critical patients subjected to mechanical ventilation].

    abstract:OBJECTIVE:To determine the results of the implementation of a protocol in an intensive care unit (ICU) referred to critically ill patients requiring a prolonged artificial airway. DESIGN:A prospective, observational cohort study was carried out. INTERVENTION:Management strategies were established on the airway by end...

    journal_title:Medicina intensiva

    pub_type: 杂志文章

    doi:10.1016/j.medin.2012.07.003

    authors: Prieto-González M,López-Messa JB,Moradillo-González S,Franzón-Laz ZM,Ortega-Sáez M,Poncela-Blanco M,Alonso-Castañeira I,Andrés-de Llano J

    更新日期:2013-08-01 00:00:00

  • [Recommendations of the Infectious Diseases Work Group (GTEI) of the Spanish Society of Intensive and Critical Care Medicine and Coronary Units (SEMICYUC) and the Infections in Critically Ill Patients Study Group (GEIPC) of the Spanish Society of Infectio

    abstract::The diagnosis of influenza A/H1N1 is mainly clinical, particularly during peak or seasonal flu outbreaks. A diagnostic test should be performed in all patients with fever and flu symptoms that require hospitalization. The respiratory sample (nasal or pharyngeal exudate or deeper sample in intubated patients) should be...

    journal_title:Medicina intensiva

    pub_type: 杂志文章,实务指引

    doi:10.1016/j.medin.2011.11.020

    authors: Rodríguez A,Alvarez-Rocha L,Sirvent JM,Zaragoza R,Nieto M,Arenzana A,Luque P,Socías L,Martín M,Navarro D,Camarena J,Lorente L,Trefler S,Vidaur L,Solé-Violán J,Barcenilla F,Pobo A,Vallés J,Ferri C,Martín-Loeches I,

    更新日期:2012-03-01 00:00:00

  • [Does decompressive craniectomy improve other parameters besides ICP? Effects of the decompressive craniectomy on tissular pressure?].

    abstract::Second level therapeutic maneuvres for controlling intracranial hypertension (ICH) proposed by the European Brain Injury Consortium and the American Association of Neurological Surgeons include barbiturates, moderate hypothermia and more recently the decompressive craniectomy (DC).In most patients, ICP can be maintain...

    journal_title:Medicina intensiva

    pub_type: 杂志文章

    doi:10.1016/j.medin.2010.09.011

    authors: Lubillo S,Blanco J,López P,Domínguez J,Ruiz C,Molina I,Morera J

    更新日期:2011-04-01 00:00:00

  • TLR2-TLR4/CD14 polymorphisms and predisposition to severe invasive infections by Neisseria meningitidis and Streptococcus pneumoniae.

    abstract:PURPOSE:Streptococcus pneumoniae and Neisseria meningitidis are major causes of severe invasive bacterial infections in some individuals. Apparently the genetic is a major susceptibility determinant to these infectious diseases. We study if the functional polymorphisms within genes of the innate immune system (TLR2-TLR...

    journal_title:Medicina intensiva

    pub_type: 杂志文章

    doi:10.1016/j.medin.2013.08.006

    authors: Tellería-Orriols JJ,García-Salido A,Varillas D,Serrano-González A,Casado-Flores J

    更新日期:2014-08-01 00:00:00

  • [A prospective, observational severe sepsis/septic shock registry in a tertiary hospital in the province of Guipuzcoa (Spain)].

    abstract:OBJECTIVE:To determine the epidemiological and clinical characteristics of the patients with severe sepsis/septic shock admitted to the ICU of Donostia Hospital (Guipuzcoa, Spain), analyzing the prognostic factors and comparing them with the existing data at national level. DESIGN:A prospective observational study was...

    journal_title:Medicina intensiva

    pub_type: 杂志文章

    doi:10.1016/j.medin.2011.10.006

    authors: Azkárate I,Sebastián R,Cabarcos E,Choperena G,Pascal M,Salas E

    更新日期:2012-05-01 00:00:00

  • [Epidemiology of acute kidney failure in Spanish ICU. Multicenter prospective study FRAMI].

    abstract:OBJECTIVE:Multicenter study oriented at establishing the incidence and prognosis of acute kidney failure (AKF) in the ICU of our country. MATERIAL AND METHODS:Prospective study of adult patients admitted over 8 months in 43 Spanish ICUs to detect AKF defined as creatinine>or=2 mg/dl or diuresis<400 ml/24 hours (in chr...

    journal_title:Medicina intensiva

    pub_type: 杂志文章,多中心研究

    doi:10.1016/s0210-5691(06)74522-3

    authors: Herrera-Gutiérrez ME,Seller-Pérez G,Maynar-Moliner J,Sánchez-Izquierdo-Riera JA,Grupo de trabajo \Estado actual del fracaso renal agudo y de las técnicas de reemplazo renal en UCI. Estudio FRAMI\.

    更新日期:2006-08-01 00:00:00

  • Issues to resolve with the use of extracorporeal membrane oxygenation during interfacility transportation.

    abstract::Extracorporeal membrane oxygenation (ECMO) support is indicated in patients who are refractory to treatment, those with cardiogenic shock or respiratory failure and those with exacerbations eligible for heart and lung transplantation. Physician experience and quantity of necessary resources are reasons why regionaliza...

    journal_title:Medicina intensiva

    pub_type: 杂志文章,评审

    doi:10.1016/j.medin.2018.01.004

    authors: Burgueño P,González C,Sarralde A,Gordo F

    更新日期:2019-03-01 00:00:00

  • Advances in immunosuppression after lung transplantation.

    abstract::Immunosuppression in transplantation has experienced changes in recent years as a result of the introduction of new drugs that act upon the different pathways of the host immune response with the purpose of securing more individualized immune suppression, with fewer side effects. Although following in the steps of oth...

    journal_title:Medicina intensiva

    pub_type: 杂志文章

    doi:10.1016/j.medin.2012.05.011

    authors: Borro JM

    更新日期:2013-01-01 00:00:00

  • [Absence of benefit with triple antiaggregation in acute non persistent ST segment elevation myocardial infarction in patients not subjected to early interventionism].

    abstract:OBJECTIVE:To assess the efficacy and safety of a treatment with clopidogrel when associated or not to the treatment with tirofiban and aspirin for high-risk non-ST segment elevation myocardial infarction (non-STEMI), without early angioplasty. SETTING:Intensive Care and Coronary Unit (ICCU), in a center with no Hemody...

    journal_title:Medicina intensiva

    pub_type: 临床试验,杂志文章

    doi:10.1016/s0210-5691(07)74801-5

    authors: Blancas Gómez-Casero R,Nevado Losada E,López Matamala B,Martínez Díaz C,Serrano Castañeda J,Yáñez Parareda E,González Manzanares JL,Chana García M,Martín Delgado C

    更新日期:2007-05-01 00:00:00

  • Comparison of values in critically ill patients for global end-diastolic volume and extravascular lung water measured by transcardiopulmonary thermodilution: a meta-analysis of the literature.

    abstract:INTRODUCTION:Hemodynamic parameters such as the global end-diastolic volume index (GEDVI) and extravascular lung water index (EVLWI), derived by transpulmonary thermodilution, have gained increasing interest for guiding fluid therapy in critically ill patients. The proposed normal values (680-800ml/m(2) for GEDVI and 3...

    journal_title:Medicina intensiva

    pub_type: 杂志文章,meta分析

    doi:10.1016/j.medin.2011.11.014

    authors: Eichhorn V,Goepfert MS,Eulenburg C,Malbrain ML,Reuter DA

    更新日期:2012-10-01 00:00:00

  • [Guidelines for specialized nutritional and metabolic support in the critically-ill patient. Update. Consensus of the Spanish Society of Intensive Care Medicine and Coronary Units-Spanish Society of Parenteral and Enteral Nutrition (SEMICYUC-SENPE): cardi

    abstract::Patients with cardiac disease can develop two types of malnutrition: cardiac cachexia, which appears in chronic congestive heart failure, and malnutrition due to the complications of cardiac surgery or any other type of surgery in patients with heart disease. Early enteral nutrition should be attempted if the oral rou...

    journal_title:Medicina intensiva

    pub_type: 共识发展会议,杂志文章,实务指引

    doi:10.1016/S0210-5691(11)70017-1

    authors: Jiménez Jiménez FJ,Cervera Montes M,Blesa Malpica AL,Spanish Society of Intensive Care Medicine and Coronary Units-Spanish Society of Parenteral and Enteral Nutrition (SEMICYUC-SENPE).

    更新日期:2011-11-01 00:00:00

  • [Diagnosis of brain death by multislice CT scan: angioCT scan and brain perfusion].

    abstract::BD was diagnosed by clinical examination, electroencephalogram (EEG), Transcranial Doppler (TCD) and multislice CT of 64 detectors. Initially, a brain perfusion study was performed. This was followed by supra-aortic trunk and brain artery angiography with acquisition of images using 0.5 mm slices, from the origin of t...

    journal_title:Medicina intensiva

    pub_type: 杂志文章

    doi:10.1016/s0210-5691(07)74833-7

    authors: Escudero D,Otero J,Vega P,Gil A,Roger RL,Gonzalo JA,Muñiz G,Taboada F

    更新日期:2007-08-01 00:00:00

  • [Takotsubo cardiomyopathy: transient apical dysfunction of the left ventricle].

    abstract::Transient apical dysfunction syndrome, ballooning or Takotsubo cardiomyopathy is a recently described syndrome. It is a disease with a partially known mechanism, characterized by the morphology adopted by the left ventricle secondary to hypokinesis and dyskinesis of the apical segments and hypercontractibility of the ...

    journal_title:Medicina intensiva

    pub_type: 杂志文章,评审

    doi:10.1016/s0210-5691(07)74793-9

    authors: Obón Azuara B,Ortas Nadal MR,Gutiérrez Cía I,Villanueva Anadón B

    更新日期:2007-04-01 00:00:00

  • [Consensus document of the Spanish Society of Intensive and Critical Care Medicine and Coronary Units (SEMICYUC), the Spanish Society of Otorhinolaryngology and Head and Neck Surgery (SEORL-CCC) and the Spanish Society of Anesthesiology and Resuscitation

    abstract::The current COVID-19 pandemic has rendered up to 15% of patients under mechanical ventilation. Because the subsequent tracheotomy is a frequent procedure, the three societies mostly involved (SEMICYUC, SEDAR and SEORL-CCC) have setup a consensus paper that offers an overview about indications and contraindications of ...

    journal_title:Medicina intensiva

    pub_type: 杂志文章

    doi:10.1016/j.medin.2020.05.002

    authors: Martín Delgado MC,Avilés-Jurado FX,Álvarez Escudero J,Aldecoa Álvarez-Santuyano C,de Haro López C,Díaz de Cerio Canduela P,Ferrandis Perepérez E,Ferrando Ortolá C,Ferrer Roca R,Hernández Tejedor A,López Álvarez F,Monedero Rodríguez

    更新日期:2020-11-01 00:00:00

  • [Cost of quality in Intensive Medicine. Guidelines for clinical management].

    abstract:OBJECTIVE:This article reviews the utility and applicability of available systems in order to calculate general and quality costs in clinical services settings. METHODS:Review of techniques to calculate costs in Intensive Care Units (ICUs) according to analytical accounting approaches. RESULTS:The methodological deve...

    journal_title:Medicina intensiva

    pub_type: 杂志文章

    doi:10.1016/s0210-5691(06)74498-9

    authors: Carrasco G,Pallarés A,Cabré L

    更新日期:2006-05-01 00:00:00

  • [Liver transplantation: influence of donor-related factors].

    abstract:OBJECTIVE:To detect donor characteristics related to graft function after orthotopic liver transplantation (OLT). DESIGN:Retrospective cohort study. CONTEXT:Polyvalent intensive care unit. PATIENTS:145 liver transplant recipients and their respective donors. INTERVENTIONS:None. MAIN VARIABLES OF INTEREST:In donors...

    journal_title:Medicina intensiva

    pub_type: 杂志文章

    doi:10.1016/s0210-5691(08)75708-5

    authors: Seller-Pérez G,Herrera-Gutiérrez ME,Lebrón-Gallardo M,Moreno-Quintana J,Banderas-Bravo E,Quesada-García G

    更新日期:2008-11-01 00:00:00

  • [Acute renal function deterioration in a Coronary Unit in Spain].

    abstract:OBJECTIVE:To assess the incidence and prognostic value of acute renal function deterioration (ARFD) in patients with acute heart disease. SETTING:Coronary Care Unit in a tertiary university hospital. DESIGN:Retrospective study. PARTICIPANTS:One hundred consecutive patients admitted during 2004. INTERVENTIONS:No ran...

    journal_title:Medicina intensiva

    pub_type: 杂志文章

    doi:10.1016/s0210-5691(08)70932-x

    authors: Martí D,Escobar C,Dedieu N,Liaño F,Jiménez Mena M,Asín E

    更新日期:2008-05-01 00:00:00

  • Analysis of the nutritional management practices in intensive care: Identification of needs for improvement.

    abstract:OBJECTIVES:To analyze the nutritional management practices in Intensive Care (ICU) to detect the need for improvement actions. Re-evaluate the process after implementation of improvement actions. DESIGN:Prospective observational study in 3 phases: 1) observation; 2) analysis, proposal development and dissemination; 3)...

    journal_title:Medicina intensiva

    pub_type: 杂志文章

    doi:10.1016/j.medin.2015.04.010

    authors: Lázaro-Martín NI,Catalán-González M,García-Fuentes C,Terceros-Almanza L,Montejo-González JC

    更新日期:2015-12-01 00:00:00

  • Predictive scoring systems in multiorgan failure: A cohort study.

    abstract:OBJECTIVE:An evaluation is made of the hospital mortality predicting capacity of the main predictive scoring systems. DESIGN:A 2-year retrospective cohort study was carried out. SETTING:A third level ICU with surgical and medical patients. PATIENTS:All patients with multiorgan failure during the first day in the ICU...

    journal_title:Medicina intensiva

    pub_type: 杂志文章

    doi:10.1016/j.medin.2015.03.005

    authors: Sánchez-Casado M,Hostigüela-Martín VA,Raigal-Caño A,Labajo L,Gómez-Tello V,Alonso-Gómez G,Aguilera-Cerna FM

    更新日期:2016-04-01 00:00:00

  • [Atrioventricular block in unstable angina. Results of the ARIAM registry].

    abstract:OBJECTIVE:Describe the frequency of high degree atrioventricular block (HDAVB) in patients with unstable angina (UA), analyze the variables associated with their appearance and evaluate whether HDAVB is independently associated with increased mortality or increased length of ICU stay. DESIGN:Retrospective descriptive ...

    journal_title:Medicina intensiva

    pub_type: 杂志文章

    doi:10.1016/s0210-5691(06)74566-1

    authors: Ruiz-Bailén M,Pola Gallego MD,Expósito Ruiz M,Pintor Mármol A,Issa-Khozouz Z,Aguayo De Hoyos E,Rucabado-Aguilar L,Castillo-Rivera AM,Morante-Valle A,Rodríguez-Puche JA,García-Alcántara A,Gómez Jiménez FJ,Grupo ARIAM.

    更新日期:2006-12-01 00:00:00

  • Main information requests of family members of patients in Intensive Care Units.

    abstract:OBJECTIVE:To compile an inventory of information requests prioritized by the family members, to find out which professionals them consider able to respond these requests, and to explore the differences in perception between family members and professionals. DESIGN:Qualitative analysis of content validation and descrip...

    journal_title:Medicina intensiva

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.medin.2017.09.007

    authors: Velasco Bueno JM,Alonso-Ovies A,Heras La Calle G,Zaforteza Lallemand C,Equipo de investigación del Proyecto HUCI (Humanizando los Cuidados Intensivos).

    更新日期:2018-01-01 00:00:00

  • [Brain death diagnosis].

    abstract::Brain death has been recognized by the scientific community as the person's death, and accepted in the legislation of different countries. Brain death is defined as the irreversible ending of the functions of all the intracranial neurological structure in both the brain and brain stem. This clinical situation appears ...

    journal_title:Medicina intensiva

    pub_type: 杂志文章,评审

    doi:10.1016/s0210-5691(09)71215-x

    authors: Escudero D

    更新日期:2009-05-01 00:00:00

  • The American-European Consensus Conference definition of the acute respiratory distress syndrome is dead, long live positive end-expiratory pressure!

    abstract::In 1994, an American-European Consensus Conference (AECC) formalized the criteria for the diagnosis of the acute respiratory distress syndrome (ARDS). Although that definition is simple to apply in the clinical setting, it has been challenged over the years in several studies since the assessment of the oxygenation de...

    journal_title:Medicina intensiva

    pub_type: 共识发展会议,杂志文章

    doi:10.1016/j.medin.2012.08.010

    authors: Villar J,Kacmarek RM

    更新日期:2012-11-01 00:00:00

  • [Evacuation plan of an intensive care unit: a new quality indicator?].

    abstract::The intensive care units must be prepared for a possible disaster, whether internal or external, in case it becomes necessary to evacuate the in-patients. They must have an Emergency and Self-protection Plan that includes the patient evacuation criteria and this must be known by all the personnel who work in the servi...

    journal_title:Medicina intensiva

    pub_type: 杂志文章

    doi:10.1016/j.medin.2009.05.005

    authors: Sánchez-Palacios M,Lorenzo Torrent R,Santana-Cabrera L,Martín García JA,Campos SG,Carrasco de Miguel V,Grupo de Trabajo del Plan de Autoprotección para el Servicio de Medicina Intensiva.

    更新日期:2010-04-01 00:00:00

  • Gender gap in medical care in ST segment elevation myocardial infarction networks: Findings from the Catalan network Codi Infart.

    abstract:OBJECTIVE:To assess the impact of gender upon the prognosis and medical care in a regional acute ST-elevation myocardial infarction management network. DESIGN:An observational study was made of consecutive patients entered in a prospective database. SCOPE:The Catalan acute ST-elevation myocardial infarction managemen...

    journal_title:Medicina intensiva

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.medin.2016.06.008

    authors: Fernández-Rodríguez D,Regueiro A,Cevallos J,Bosch X,Freixa X,Trilla M,Brugaletta S,Martín-Yuste V,Sabaté M,Bosa-Ojeda F,Masotti M,en representación de los investigadores del Registro Codi Infart.

    更新日期:2017-03-01 00:00:00

  • [ (REgistro de TRAuma grave de la provincia de TOledo): general view and mortality].

    abstract:OBJECTIVE:To analyze the management and progression of the critical trauma patient. DESIGN:A retrospective, descriptive analysis. SETTING:The ICU in the province of Toledo. PATIENTS:All patients with traumatic injury admitted during the 2001-2007 period (7 years). MAIN VARIABLES OF INTEREST:These include the variab...

    journal_title:Medicina intensiva

    pub_type: 杂志文章

    doi:10.1016/j.medin.2010.02.002

    authors: Marina-Martínez L,Sánchez-Casado M,Hortiguela-Martin V,Taberna-Izquierdo MA,Raigal-Caño A,Pedrosa-Guerrero A,Quintana-Díaz M,Rodríguez-Villar S

    更新日期:2010-08-01 00:00:00

  • [Tuberculosis miliar in a patient treated with intravesical instillations of bacillus Calmette-Guérin].

    abstract::Tuberculosis miliar is a very rare complication of bacillus Calmette-Guérin (BCG) immunotherapy that is associated to high mortality. Thus, early diagnosis and treatment is essential. At present, there is a polymerase chain reaction technique (PCR) which is a rapid diagnostic method with elevated sensitivity. Treatmen...

    journal_title:Medicina intensiva

    pub_type: 杂志文章

    doi:10.1016/s0210-5691(06)74485-0

    authors: Del Castillo Duran Y,Santos Bodí F,Castander Serentill D,Jubert Montaperto P,Espinosa Valencia P,Rabassó Sole C

    更新日期:2006-04-01 00:00:00

  • Temporary internal pacing.

    abstract::Technology and insertion techniques for cardiac temporary internal pacing have experienced a remarkable development over the last few years. Despite this fact, the procedure continues to have potentially fatal associated complications. Temporary internal pacing is indicated for the treatment of bradyarrhythmias or tac...

    journal_title:Medicina intensiva

    pub_type: 杂志文章

    doi:10.1016/j.medin.2014.02.006

    authors: Ortiz Díaz-Miguel R,Gómez Grande ML

    更新日期:2014-12-01 00:00:00