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

Autor: Milena S. Nascimento, Glasiele C. Alcala, Ana I. A. Guzman, Leticia C. Corrêa, Diana M. Baggio, Felipe S. Rossi, Linus P. Fascina, Marcelo B. P. Amato, Cristiane do Prado
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: BMC Pulmonary Medicine, Vol 21, Iss 1, Pp 1-7 (2021)
Druh dokumentu: article
ISSN: 1471-2466
DOI: 10.1186/s12890-021-01716-y
Popis: Abstract 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.
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