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Research ArticleOriginal Research

Effect of High-Flow Nasal Cannula and Body Position on End-Expiratory Lung Volume: A Cohort Study Using Electrical Impedance Tomography

Jordi Riera, Purificación Pérez, Jordi Cortés, Oriol Roca, Joan Ramon Masclans and Jordi Rello
Respiratory Care April 2013, 58 (4) 589-596; DOI: https://doi.org/10.4187/respcare.02086
Jordi Riera
Critical Care Department, Vall d'Hebron Research Institut, Vall d'Hebron University Hospital, Universitat Autònoma de Barcelona, Barcelona, Spain
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  • For correspondence: [email protected]
Purificación Pérez
Critical Care Department, Vall d'Hebron Research Institut, Vall d'Hebron University Hospital, Universitat Autònoma de Barcelona, Barcelona, Spain
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Jordi Cortés
Department of Statistics and Operations Research, Universitat Politècnica de Catalunya, Barcelona, Spain.
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Oriol Roca
Critical Care Department, Vall d'Hebron Research Institut, Vall d'Hebron University Hospital, Universitat Autònoma de Barcelona, Barcelona, Spain
Centro de Investigación Biomédica en Red Enfermedades Respiratorias, Instituto de Salud Carlos III, Madrid, Spain.
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Joan Ramon Masclans
Critical Care Department, Vall d'Hebron Research Institut, Vall d'Hebron University Hospital, Universitat Autònoma de Barcelona, Barcelona, Spain
Centro de Investigación Biomédica en Red Enfermedades Respiratorias, Instituto de Salud Carlos III, Madrid, Spain.
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Jordi Rello
Critical Care Department, Vall d'Hebron Research Institut, Vall d'Hebron University Hospital, Universitat Autònoma de Barcelona, Barcelona, Spain
Centro de Investigación Biomédica en Red Enfermedades Respiratorias, Instituto de Salud Carlos III, Madrid, Spain.
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    Fig. 1.

    As electrical impedance tomography measures variation of impedance values, a reference is needed to express the magnitude of the changes. The end-expiratory lung impedance variation (ΔEELI) of each respiratory cycle is expressed as a function of the tidal variation of the first stable respiratory cycle (VT global C1) of the first phase.

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    Fig. 2.

    Global end-expiratory lung impedance variation (ΔEELI) in the supine and prone positions while breathing ambient air (phases 1 and 3) versus on high-flow nasal cannula (phase 2). ΔEELI is higher during the ambient air phases.

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    Fig. 3.

    Regional end-expiratory lung impedance variation (ΔEELI) in the supine position. Regional ΔEELI is higher in the ventral regions (1 and 2).

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    Fig. 4.

    Image, curves, and numbers of global and regional end-expiratory lung impedance variation (ΔEELI) of a subject breathing in supine position. There is a substantial difference between the ventral (1 and 2) and dorsal (3 and 4) lung regions.

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    Fig. 5.

    Regional end-expiratory lung impedance variation (ΔEELI) in the prone position. Note the more homogeneous ΔEELI distribution.

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    Fig. 6.

    Image, curves, and numbers of global and regional end-expiratory lung impedance variation (ΔEELI) in the prone position. Note the more homogeneous ΔEELI distribution.

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Respiratory Care: 58 (4)
Respiratory Care
Vol. 58, Issue 4
1 Apr 2013
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Effect of High-Flow Nasal Cannula and Body Position on End-Expiratory Lung Volume: A Cohort Study Using Electrical Impedance Tomography
Jordi Riera, Purificación Pérez, Jordi Cortés, Oriol Roca, Joan Ramon Masclans, Jordi Rello
Respiratory Care Apr 2013, 58 (4) 589-596; DOI: 10.4187/respcare.02086

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Effect of High-Flow Nasal Cannula and Body Position on End-Expiratory Lung Volume: A Cohort Study Using Electrical Impedance Tomography
Jordi Riera, Purificación Pérez, Jordi Cortés, Oriol Roca, Joan Ramon Masclans, Jordi Rello
Respiratory Care Apr 2013, 58 (4) 589-596; DOI: 10.4187/respcare.02086
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Keywords

  • high-flow nasal cannula
  • electrical impedance tomography
  • body position
  • lung volume
  • oxygen therapy
  • prone position

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