Title
Modelling approach to obtain regional respiratory mechanics using electrical impedance tomography and volume-dependent elastance model
Date Issued
26 April 2019
Access level
metadata only access
Resource Type
journal article
Author(s)
Victor M.
Melo J.
Nakamura M.
Tucci M.
Costa E.
Amato M.
Yoneyama T.
Tanaka H.
Universidad de Saõ Paulo
Publisher(s)
IOP Publishing Ltd
Abstract
Objective: This paper presents a method for breath-by-breath estimation of regional respiratory mechanics without the need for special manoeuvres (such as inspiratory pause or low-flow inflation) using electrical impedance tomography (EIT) associated with pressure/airflow waveforms. Approach: We developed a method to estimate regional parameters using the regional impedance fraction, by multiplying it by global flow and volume waveforms. A volume-dependent elastance model was used to obtain compliance, resistance, volume-independent (E 1), and volume-dependent (E 2) components. Three swine under invasive mechanical ventilation were used to assess internal consistency and illustrate potential applications of our method. One animal (case 1) was ventilated with a broad range of tidal volumes to compare the consistency between regional and global resistances and compliances. Two other animals (cases 2 and 3) had respiratory compliance decreased, respectively, by overdistension and collapse as quantified by X-ray computed tomography. Main results: In case 1, derived global estimates obtained from the independent regional estimates were strongly associated with direct measurements of global mechanics (correlation coefficients of 0.9976 and 0.9981 for compliances and resistances, respectively), suggesting consistency of our modelling. In cases 2 and 3, the development of lung overdistension and collapse over time was captured by regional estimates. Conclusions: Using EIT and pressure/airflow waveforms, regional respiratory parameters can be obtained cycle-by-cycle, refining lung function monitoring. Significance: The method allows real-time monitoring of regional parameters and their trends over time, which might be helpful to differentiate deterioration in lung compliance due to overdistension or collapse.
Volume
40
Issue
4
Language
English
OCDE Knowledge area
Radiología, Medicina nuclear, Imágenes médicas
Subjects
Scopus EID
2-s2.0-85065347331
PubMed ID
Source
Physiological Measurement
ISSN of the container
09673334
Sources of information:
Directorio de Producción Científica
Scopus