en
Scientific article
Case report
Open access
English

Electrical impedance tomography reveals pathophysiology of neonatal pneumothorax during NAVA

Published inClinical case reports, vol. 8, no. 8, p. 1574-1578
Publication date2020
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.

Keywords
  • Electrical impedance tomography (EIT)
  • Neonate
  • Neurally adjusted ventilatory assist
  • Pneumothorax
  • Respiratory distress syndrome (RDS)
Funding
  • European Commission - Continuous Regional Analysis Device for neonate Lung [668259]
Citation (ISO format)
KALLIO, Merja et al. Electrical impedance tomography reveals pathophysiology of neonatal pneumothorax during NAVA. In: Clinical case reports, 2020, vol. 8, n° 8, p. 1574–1578. doi: 10.1002/ccr3.2944
Main files (1)
Article (Published version)
Identifiers
ISSN of the journal2050-0904
113views
45downloads

Technical informations

Creation08/06/2021 3:47:00 PM
First validation08/06/2021 3:47:00 PM
Update time03/16/2023 1:55:15 AM
Status update03/16/2023 1:55:14 AM
Last indexation02/12/2024 1:33:13 PM
All rights reserved by Archive ouverte UNIGE and the University of GenevaunigeBlack