ArticleWorld journal of emergency medicine2026
Application of electrical impedance tomography-guided PEEP titration in acute respiratory distress syndrome patients with intra-abdominal hypertension.
Article in World journal of emergency medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Effects of individualized PEEP titration on intraoperative cardiac output in thoracoscopic lung surgery: a prospective randomized trial.Scientific reports · 2026Trial
- Advances in Imaging and Physiology-Guided Personalized Care in Acute Respiratory Distress Syndrome.Medicina (Kaunas, Lithuania) · 2026Review
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8 authors.
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Abstract
backgroundIndividualized positive end-expiratory pressure (PEEP) titration is a crucial technique in mechanical ventilation therapy for acute respiratory distress syndrome (ARDS) patients with intra-abdominal hypertension (IAH). This study aimed to evaluate the effectiveness of electrical impedance tomography (EIT)-guided PEEP titration in this population.
methodsThis prospective study enrolled 36 ARDS patients, including 22 patients with IAH and 14 without IAH. All the patients underwent EIT-guided PEEP titration at the intersection point between alveolar overdistension and collapse during a decremental PEEP trial. The changes in pulmonary ventilation distribution, respiratory mechanics and hemodynamics during the titration process were observed.
resultsAfter EIT-guided PEEP titration was performed, the PEEP, peak inspiratory pressure and plateau pressure increased significantly (
conclusionIn our study, individualized PEEP titration guided by EIT improved oxygenation in ARDS patients with concomitant IAH without significantly affecting hemodynamics. The presence of IAH may limit the improvement of oxygenation during EIT-guided PEEP titration.
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