Electrical impedance tomography reveals pathophysiology of neonatal pneumothorax during NAVA
Kallio, Merja 
ORCID: https://orcid.org/0000-0003-0799-344X, Rahtu, Marika, van Kaam, Anton, Bayford, Richard ORCID: https://orcid.org/0000-0001-8863-6385, Rimensberger, Peter C. and Frerichs, Inez
(2020)
Electrical impedance tomography reveals pathophysiology of neonatal pneumothorax during NAVA.
Clinical Case Reports, 8
(8)
.
pp. 1574-1578.
ISSN 2050-0904
[Article]
(doi:10.1002/ccr3.2944)
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Abstract
Pneumothorax is a potentially life‐threatening complication of neonatal respiratory distress syndrome (RDS). We describe a case of a tension pneumothorax that occurred during neurally adjusted ventilatory assist (NAVA) in a preterm infant suffering from RDS. The infant was included in a multicenter study examining the role of electrical impedance tomography (EIT) in intensive care and therefore continuously monitored with this imaging method. The attending physicians were blinded for EIT findings but offline analysis revealed the potential of EIT to clarify the underlying cause of this complication, which in this case was heterogeneous lung disease resulting in uneven ventilation distribution. Instantaneous increase in end‐expiratory lung impedance on the affected side was observed at time of the air leak. Real‐time bedside availability of EIT data could have modified the treatment decisions made.
| Item Type: | Article |
|---|---|
| Keywords (uncontrolled): | electrical impedance tomography (EIT), neonate, neurally adjusted ventilatory assist, pneumothorax, respiratory distress syndrome (RDS) |
| Research Areas: | A. > School of Science and Technology > Natural Sciences > Biophysics and Bioengineering group |
| Item ID: | 30307 |
| Notes on copyright: | © 2020 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd
This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made. |
| Useful Links: | |
| Depositing User: | Jisc Publications Router |
| Date Deposited: | 03 Jun 2020 10:21 |
| Last Modified: | 26 Oct 2022 09:56 |
| URI: | https://eprints.mdx.ac.uk/id/eprint/30307 |
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