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Thoracic electrical impedance tomography to minimize right heart strain following cardiac arrest


Department of Pediatrics, Division of Pediatric Critical Care, College of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Canada

Correspondence Address:
Dr. Gregory Hansen
Pediatric Intensive Care Unit, 103 Hospital Drive, S7n 0w8, Saskatoon, Saskatchewan S7N 0W8
Canada
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/apc.APC_189_18

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Year : 2019  |  Volume : 12  |  Issue : 3  |  Page : 315-317

 

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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.






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Department of Pediatrics, Division of Pediatric Critical Care, College of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Canada

Correspondence Address:
Dr. Gregory Hansen
Pediatric Intensive Care Unit, 103 Hospital Drive, S7n 0w8, Saskatoon, Saskatchewan S7N 0W8
Canada
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/apc.APC_189_18

Rights and Permissions

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.






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