From the Departments of Emergency Medicine.
Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.
A A Pract. 2022 Jul 20;16(7):e01606. doi: 10.1213/XAA.0000000000001606. eCollection 2022 Jul 1.
Electrical impedance tomography (EIT) is an emerging imaging modality that can be used to diagnose ventilatory and intrathoracic perfusion mismatches in unstable patients at the bedside. We present a case of a postoperative hypoxic patient in the intensive care unit (ICU) who was too unstable for transport for computed tomography (CT) imaging but was diagnosed and treated for a pulmonary embolism using EIT at the bedside. After the patient clinically improved, CT imaging confirmed the pulmonary embolism diagnosis. EIT is a promising diagnostic tool that may have great utility in ICUs, where it can be safely applied at the bedside.
电阻抗断层成像(EIT)是一种新兴的成像方式,可用于在床边诊断不稳定患者的通气和胸腔内灌注不匹配。我们报告了一例术后低氧血症患者在重症监护病房(ICU)的病例,该患者因不稳定而无法进行计算机断层扫描(CT)成像,但使用 EIT 在床边诊断和治疗了肺栓塞。患者临床症状改善后,CT 成像证实了肺栓塞的诊断。EIT 是一种很有前途的诊断工具,在 ICU 中可能有很大的应用价值,因为它可以安全地在床边应用。