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Research ArticleOriginal Research

Oxygen Therapy Delivery and Body Position Effects Measured With Electrical Impedance Tomography

Zhiyong Yuan, Xiaoning Han, Lisha Wang, Ping Xue, Yunbo Sun, Inéz Frerichs, Knut Möller, Jinyan Xing and Zhanqi Zhao
Respiratory Care March 2020, 65 (3) 281-287; DOI: https://doi.org/10.4187/respcare.07109
Zhiyong Yuan
Department of Critical Care Medicine
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Xiaoning Han
Department of Critical Care Medicine
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Lisha Wang
Department of Oncology, Affiliated Hospital of Qingdao University, Qingdao, Shandong, China.
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Ping Xue
Department of Critical Care Medicine
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Yunbo Sun
Department of Critical Care Medicine
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Inéz Frerichs
Department of Anaesthesiology and Intensive Care Medicine, University Medical Centre of Schleswig-Holstein Campus Kiel, Germany.
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Knut Möller
Institute of Technical Medicine, Furtwangen University, Villingen-Schwenningen, Germany.
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Jinyan Xing
Department of Critical Care Medicine
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  • For correspondence: [email protected]
Zhanqi Zhao
Institute of Technical Medicine, Furtwangen University, Villingen-Schwenningen, Germany.
Department of Biomedical Engineering, Fourth Military Medical University, Xi'an, China.
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    Fig. 1.

    Flow chart. HFNC = high-flow nasal cannula, EIT = electrical impedance tomography.

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    Fig. 2.

    Ventilation distribution at different study phases. The last minute of EIT data from each phase is presented. In the tidal variation images, highly ventilated regions are coded in light blue. Pixel values are relative impedance in arbitrary units, and the same scale is applied to all 4 panels. In the end-expiratory lung impedance images, regions with high end-expiratory lung volume are coded in red. Pixel values are relative impedance in arbitrary units, and the same scale is applied to all 4 panels. VC-CMV = volume-controlled continuous mandatory ventilation; HFNC = high-flow nasal cannula; head-up tilt = 45° head-up tilt with conventional O2; AU = arbitrary units; EIT = electrical impedance tomography.

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    Fig. 3.

    Comparison of EELI during conventional O2 therapy, HFNC therapy, and 45° head-up tilt in the ventral (A) and dorsal regions (B) of the lungs. Horizontal lines show the mean EELI in the corresponding phase. * P < .05 between conventional O2 and HFNC therapy; ** P < .001 between conventional O2 and head-up tilt and between HFNC therapy and head-up tilt. EELI = end-expiratory lung impedance; HFNC = high-flow nasal cannula.

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Respiratory Care: 65 (3)
Respiratory Care
Vol. 65, Issue 3
1 Mar 2020
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Oxygen Therapy Delivery and Body Position Effects Measured With Electrical Impedance Tomography
Zhiyong Yuan, Xiaoning Han, Lisha Wang, Ping Xue, Yunbo Sun, Inéz Frerichs, Knut Möller, Jinyan Xing, Zhanqi Zhao
Respiratory Care Mar 2020, 65 (3) 281-287; DOI: 10.4187/respcare.07109

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Oxygen Therapy Delivery and Body Position Effects Measured With Electrical Impedance Tomography
Zhiyong Yuan, Xiaoning Han, Lisha Wang, Ping Xue, Yunbo Sun, Inéz Frerichs, Knut Möller, Jinyan Xing, Zhanqi Zhao
Respiratory Care Mar 2020, 65 (3) 281-287; DOI: 10.4187/respcare.07109
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Keywords

  • high-flow nasal cannula
  • 45-degree head-up tilt
  • end-expiratory lung impedance
  • abdominal surgery

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