Open AccessThoracic electrical impedance tomography to minimize right heart strain following cardiac arrest
Author(s) -
Gregory Hansen,
Tanya Holt,
Jeffrey Dmytrowich
Publication year - 2019
Publication title -
annals of pediatric cardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.292
H-Index - 19
eISSN - 0974-2069
pISSN - 0974-5149
DOI - 10.4103/apc.apc_189_18
Subject(s) - medicine , electrical impedance tomography , fulminant , cardiology , ventricle , afterload , ventilation (architecture) , anesthesia , tomography , radiology , mechanical engineering , engineering
Titrating ventilator settings to minimize pulmonary arterial pressures and optimize both ventilation and oxygen delivery can be challenging following cardiac arrest. Erroneous ventilator adjustments can lead to unnecessary strain on the right ventricle that may be particularly vulnerable during the acute recovery. We report a child with fulminant myocarditis who was mechanically ventilated using thoracic electrical impedance tomography to optimize regional lung inflation and possibly curtail right ventricular afterload following cardiac arrest.