Evidence map›Paper›PMID 31390977›Full record

ReviewBMC anesthesiology2019

Electrical impedance tomography in perioperative medicine: careful respiratory monitoring for tailored interventions.

Elena Spinelli, Tommaso Mauri, Alberto Fogagnolo, Gaetano Scaramuzzo, Annalisa Rundo, Domenico Luca Grieco, Giacomo Grasselli, Carlo Alberto Volta, Savino Spadaro

Erratum issued 4 registry-linked trialsAbstract readReview
In one paragraph

Review in BMC anesthesiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to 4 registered trials, which are not on this map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04813250 nacompletednot on this map

The Effects of Ventilatory Strategies on Pulmonary Function After Cardiopulmonary Bypass Evaluated by Electrical Impedance Tomography in Patients Undergoing Cardiac Surgery

TypeinterventionalSponsorNational Defense Medical Center, TaiwanRan2018 to 2019Enrolled50ConditionsElective Cardiac Surgical PatientsArmsventilation mode setting
NCT05495477 naunknown statusnot on this mapstarted 2021, after this paper: background citation

Effects of Non-invasive Ventilation (NIV) and Continuous Positive Airway Pressure (CPAP) on Ventilation Distribution, Measured by Electrical Impedance Tomography (EIT), During Deep Sedation in Paediatric Patients

TypeinterventionalSponsorFondazione IRCCS Ca' Granda, Ospedale Maggiore PoliclinicoRan2021 to 2024Enrolled20ConditionsRespiratory Failure, Sedation, Mechanical Ventilation ComplicationArmsEIT
NCT05554536 naunknown statusnot on this mapstarted 2022, after this paper: background citation

Evaluation of Regional Lung Mechanics in Obese Patients Undergoing Laparoscopic Surgery Using Electrical Impedance Tomography

TypeinterventionalSponsorUniversità degli Studi di FerraraRan2022 to 2023Enrolled30ConditionsObesity, Mechanical Ventilation Pressure High, Intraoperative Respiratory InjuryArmsPEEP titration trial
NCT06262360 naunknown statusnot on this mapstarted 2024, after this paper: background citation

Changes in Pulmonary Ventilation Distribution Assessed by EIT (Electrical Impedance Tomography) in Healthy Children Under General Anesthesia; a Pilot Study Comparing Mask Spontaneous Breathing and Laryngeal Mask Spontaneous Breathing With and Without Ventilatory Support

TypeinterventionalSponsorQueen Fabiola Children's University HospitalRan2024 to 2024Enrolled60ConditionsAnesthesia, PediatricArmsGeneral anesthesia with mask ventilation, General anesthesia and spontaneous laryngeal mask ventilation, General anesthesia with spontaneous laryngeal mask ventilation with pressure support
3 · Its place in the literature

Who cites it

31 citing papers in PubMed.

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  11. Functional Phenotyping: A New Role for Electrical Impedance Tomography.American journal of respiratory and critical care medicine · 2024
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Elena SpinelliDipartimento di Anestesia, Rianimazione ed Emergenza-Urgenza, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Università degli studi di Milano, Milan, Italy.
Tommaso MauriDipartimento di Anestesia, Rianimazione ed Emergenza-Urgenza, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Università degli studi di Milano, Milan, Italy.
Alberto FogagnoloDepartment Morphology, Surgery and Experimental medicine, Anesthesia and Intensive care section, University of Ferrara, Azienda Ospedaliera- Universitaria Sant'Anna, 8, Aldo Moro, Ferrara, Italy.
Gaetano ScaramuzzoDepartment Morphology, Surgery and Experimental medicine, Anesthesia and Intensive care section, University of Ferrara, Azienda Ospedaliera- Universitaria Sant'Anna, 8, Aldo Moro, Ferrara, Italy.
Annalisa RundoUOC Anestesia e Rianimazione, Polo ospedaliero Belcolle ASL, Viterbo, Italy.
Domenico Luca GriecoDepartment of Anesthesiology and Intensive Care Medicine, Catholic University of the Sacred Heart, Fondazione "Policlinico Universitario A. Gemelli", Rome, Italy.
Giacomo GrasselliDipartimento di Anestesia, Rianimazione ed Emergenza-Urgenza, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Università degli studi di Milano, Milan, Italy.
Carlo Alberto VoltaDepartment Morphology, Surgery and Experimental medicine, Anesthesia and Intensive care section, University of Ferrara, Azienda Ospedaliera- Universitaria Sant'Anna, 8, Aldo Moro, Ferrara, Italy.
Savino SpadaroDepartment Morphology, Surgery and Experimental medicine, Anesthesia and Intensive care section, University of Ferrara, Azienda Ospedaliera- Universitaria Sant'Anna, 8, Aldo Moro, Ferrara, Italy. spdsvn@unife.it.ORCID 0000-0001-5027-5318

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundElectrical impedance tomography (EIT) is a non-invasive radiation-free monitoring technique that provides images based on tissue electrical conductivity of the chest. Several investigations applied EIT in the context of perioperative medicine, which is not confined to the intraoperative period but begins with the preoperative assessment and extends to postoperative follow-up. MAIN BODY: EIT could provide careful respiratory monitoring in the preoperative assessment to improve preparation for surgery, during anaesthesia to guide optimal ventilation strategies and to monitor the hemodynamic status and in the postoperative period for early detection of respiratory complications. Moreover, EIT could further enhance care of patients undergoing perioperative diagnostic procedures. This narrative review summarizes the latest evidence on the application of this technique to the surgical patient, focusing also on possible future perspectives.

conclusionsEIT is a promising technique for the perioperative assessment of surgical patients, providing tailored adaptive respiratory and haemodynamic monitoring. Further studies are needed to address the current technological limitations, confirm the findings and evaluate which patients can benefit more from this technology.

Indexed as

Electric ImpedanceMonitoring, PhysiologicPerioperative MedicineTomographyFunctional Residual CapacityHemodynamicsHumansLungLung Volume MeasurementsPerfusion ImagingPerioperative CarePositive-Pressure RespirationPulmonary AtelectasisPulmonary VentilationElectrical impedance tomographyHemodynamic monitoringNon-operating room anaesthesiaPerioperative medicine

Identifiers

PMID31390977
PMCPMC6686519

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.