Identifying optimal positive end-expiratory pressure with electrical impedance tomography guidance in severe bronchopulmonary dysplasia

Bamat N, Fierro J, Wang Y, Millar D, Kirpalani H. Positive end-expiratory pressure for preterm infants requiring conventional mechanical ventilation for respiratory distress syndrome or bronchopulmonary dysplasia. Cochrane Database Syst Rev. 2019;2:CD004500.

PubMed  Google Scholar 

Keszler M. Mechanical ventilation strategies. Semin Fetal Neonatal Med. 2017;22:267–74.

Article  PubMed  Google Scholar 

Dreyfuss D, Saumon G. Role of tidal volume, FRC, and end-inspiratory volume in the development of pulmonary edema following mechanical ventilation. Am Rev Respir Dis. 1993;148:1194–203.

Article  PubMed  CAS  Google Scholar 

Zannin E, Doni D, Ventura ML, Fedeli T, Rigotti C, Dellaca RL, et al. Relationship between mean airways pressure, lung mechanics, and right ventricular output during high-frequency oscillatory ventilation in infants. J Pediatr. 2017;180:110–5.

Article  PubMed  Google Scholar 

de Waal K, Evans N, van der Lee J, van Kaam A. Effect of lung recruitment on pulmonary, systemic, and ductal blood flow in preterm infants. J Pediatr. 2009;154:651–5.

Article  PubMed  Google Scholar 

Hausdorf G, Hellwege HH. Influence of positive end-expiratory pressure on cardiac performance in premature infants: a Doppler-echocardiographic study. Crit Care Med. 1987;15:661–4.

Article  PubMed  CAS  Google Scholar 

Lee JH, Kang P, Park JB, Ji SH, Jang YE, Kim EH, et al. Determination of optimal positive end-expiratory pressure using electrical impedance tomography in infants under general anesthesia: comparison between supine and prone positions. Paediatr Anaesth. 2024;34:758–67.

Article  PubMed  Google Scholar 

Zhao Z, Lee LC, Chang MY, Frerichs I, Chang HT, Gow CH, et al. The incidence and interpretation of large differences in EIT-based measures for PEEP titration in ARDS patients. J Clin Monit Comput. 2020;34:1005–13.

Article  PubMed  Google Scholar 

He H, Chi Y, Yang Y, Yuan S, Long Y, Zhao P, et al. Early individualized positive end-expiratory pressure guided by electrical impedance tomography in acute respiratory distress syndrome: a randomized controlled clinical trial. Crit Care. 2021;25:230.

Article  PubMed  PubMed Central  Google Scholar 

Pereira SM, Tucci MR, Morais CCA, Simoes CM, Tonelotto BFF, Pompeo MS, et al. Individual positive end-expiratory pressure settings optimize intraoperative mechanical ventilation and reduce postoperative atelectasis. Anesthesiology. 2018;129:1070–81.

Article  PubMed  Google Scholar 

Costa EL, Borges JB, Melo A, Suarez-Sipmann F, Toufen C Jr, Bohm SH, et al. Bedside estimation of recruitable alveolar collapse and hyperdistension by electrical impedance tomography. Intensive Care Med. 2009;35:1132–7.

Article  PubMed  Google Scholar 

Sella N, Pettenuzzo T, Zarantonello F, Andreatta G, De Cassai A, Schiavolin C, et al. Electrical impedance tomography: a compass for the safe route to optimal PEEP. Respir Med. 2021;187:106555.

Article  PubMed  Google Scholar 

Soltesz L, Leyens J, Vogel M, Muders T, Putensen C, Kipfmueller F, et al. EIT guided evaluation of regional ventilation distributions in neonatal and pediatric ARDS: a prospective feasibility study. Respir Res. 2025;26:60.

Article  PubMed  PubMed Central  CAS  Google Scholar 

Morais CCA, Alcala G, De Santis Santiago RR, Valsecchi C, Diaz E, Wanderley H, et al. Pronation reveals a heterogeneous response of global and regional respiratory mechanics in patients with acute hypoxemic respiratory failure. Crit Care Explor. 2023;5:e0983.

PubMed  PubMed Central  Google Scholar 

Giani M, Bronco A, Bellani G. How to measure respiratory mechanics during controlled mechanical ventilation: measurement of respiratory mechanics. AboutOpen. 2019;6:86–9.

Article  Google Scholar 

Bamat NA, Guevara JP, Bryan M, Roberts RS, Yoder BA, Lemyre B, et al. Variation in positive end-expiratory pressure levels for mechanically ventilated extremely low birth weight infants. J Pediatr. 2018;194:28–33.e5.

Article  PubMed  Google Scholar 

Bonta BW, Uauy R, Warshaw JB, Motoyama EK. Determination of optimal continuous positive airway pressure for the treatment of IRDS by measurement of esophageal pressure. J Pediatr. 1977;91:449–54.

Article  PubMed  CAS  Google Scholar 

Mathe JC, Clement A, Chevalier JY, Gaultier C, Costil J. Use of total inspiratory pressure-volume curves for determination of appropriate positive end-expiratory pressure in newborns with hyaline membrane disease. Intensive Care Med. 1987;13:332–6.

Article  PubMed  CAS  Google Scholar 

Medeiros KJ, Morais CA, Winterton D, Rub DM, De Santis Santiago R, Shekhar N, et al. Delivering low tidal volume with anesthesia and ICU ventilators in a neonatal lung model. Respir Care. 2023;68:384–91.

Montoya C, Steinhorn R, Berger J, Haroyan H, Said M, Perez GF. Dynamic PEEP study: a non-invasive diagnostic exam to assess for effective PEEP in children with severe BPD. Lung. 2022;200:59–65.

Article  PubMed  Google Scholar 

Pugh CP, Ali S, Agarwal A, Matlock DN, Sharma M. Dynamic computed tomography for evaluation of tracheobronchomalacia in premature infants with bronchopulmonary dysplasia. Pediatr Pulmonol. 2023;58:3255–63.

Article  PubMed  PubMed Central  Google Scholar 

Akhavan S, Hashemian SM. The role of electrical impedance tomography for monitoring during bronchoscopy: a case report. J Crit Care. 2018;48:311–3.

Article  PubMed  Google Scholar 

Abman SH, Collaco JM, Shepherd EG, Keszler M, Cuevas-Guaman M, Welty SE, et al. Interdisciplinary care of children with severe bronchopulmonary dysplasia. J Pediatr. 2017;181:12–28.e1.

Article  PubMed  Google Scholar 

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