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Title

Electrical impedance tomography reveals pathophysiology of neonatal pneumothorax during NAVA.

Authors
Kallio, Merja
Rahtu, Marika
van Kaam, Anton H
Bayford, Richard
Frerichs, Inéz
Published in Clinical case reports. 2020, vol. 8, no. 8, p. 1574-1578
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)NeonateNeurally adjusted ventilatory assistPneumothoraxRespiratory distress syndrome (RDS)
Identifiers
PMID: 32884798
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Structures
Research group Maladies pulmonaires aigues et pathologies cardiaques congénitales (697)
Project
H2020: 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 https://archive-ouverte.unige.ch/unige:156670

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Deposited on : 2021-11-24

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