Electrical impedance tomography in pediatric patients with COVID-19, the first reports.

Autor: Nascimento MS; Department of Pediatrics, Hospital Israelita Albert Einstein, Albert Einstein Avenue, 627-701, São Paulo, SP, 05651-901, Brazil. milenasn@einstein.br., Alcala GC; Developer Division, Timpel SA, São Paulo, Brazil., Guzman AIA; Developer Division, Timpel SA, São Paulo, Brazil., Corrêa LC; Developer Division, Timpel SA, São Paulo, Brazil., Baggio DM; Department of Pediatrics, Hospital Israelita Albert Einstein, Albert Einstein Avenue, 627-701, São Paulo, SP, 05651-901, Brazil., Rossi FS; Department of Pediatrics, Hospital Israelita Albert Einstein, Albert Einstein Avenue, 627-701, São Paulo, SP, 05651-901, Brazil., Fascina LP; Department of Pediatrics, Hospital Israelita Albert Einstein, Albert Einstein Avenue, 627-701, São Paulo, SP, 05651-901, Brazil., Amato MBP; Divisão de Pneumologia, Cardiopulmonary Department, Heart Institute (INCOR), São Paulo, SP, Brazil., do Prado C; Department of Pediatrics, Hospital Israelita Albert Einstein, Albert Einstein Avenue, 627-701, São Paulo, SP, 05651-901, Brazil.
Jazyk: angličtina
Zdroj: BMC pulmonary medicine [BMC Pulm Med] 2021 Nov 08; Vol. 21 (1), pp. 357. Date of Electronic Publication: 2021 Nov 08.
DOI: 10.1186/s12890-021-01716-y
Abstrakt: Introduction: Electrical impedance tomography (EIT) is a noninvasive, radiation-free, bedside tool to monitor ventilation distribution in real time.
Objective: To evaluate, in pediatric COVID-19 patients, the ventilation distribution using EIT and compare it to thoracic computed tomography (TCT) or chest radiograph results obtained in these patients.
Methods: This was a prospective, observational clinical study including pediatric patients admitted to the intensive care unit of a private hospital. The patients monitored with EIT tested positive for COVID-19 and were submitted to the previously mentioned radiation exams. EIT monitoring lasted 15 min and no sedation was used.
Results: Six patients were included in this study. The main differences observed in the EIT were in the right-left distribution and were compatible with the morphological changes found in the TCT or radiograph images due to COVID-19 infection.
Conclusion: We conclude that EIT is ready to investigate the ventilatory profile present at different lung diseases, including COVID-19, and might postpone or mitigate the need of repeated ionizing radiation exams in the pediatric population, although larger pediatric cohorts comparing to standard radiological imaging are needed.
(© 2021. The Author(s).)
Databáze: MEDLINE
Externí odkaz: