Monitoring of Regional Lung Ventilation by Chest Electrical Impedance in the Course of Extubation

Launched by BIOSERENITY · Nov 26, 2019

Keywords

ClinConnect Summary

The aim is to follow the patients after extubation for the lung description.

EIT exam is performed before extubation, during follow-up visits and 48H after extubation

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • 1. Age\> 65 years
• • 2. Invasive mechanical ventilation time greater than 48 hours
• • 3. known or suspected Chronic obstructive pulmonary disease
• • 4. Known or suspected heart failure
• • 5. Success in the spontaneous ventilation and extubation test scheduled by the doctor in charge
• • 6. Patient or trusted person who has been informed of the study and has consented to participate
• Exclusion Criteria:
• • 1. Pregnant women, minor patients
• • 2. Patients under extracorporeal circulatory assistance (ECMO)
• • 3. Refusal of the patient
• 4. Contraindications to the realization of the phrenic nerve stimulation technique:
• • Pacemaker, implantable cardiac defibrillator and other pacemakers
• • Spinal implants, thoracic drains ...
• • Copper allergy
• • Epileptic patients
• • 5. Patients performing uncontrolled body movements
• 6. Contraindications to the realization of the technique of Electrical Imaging Tomography:
• • Breast circumference not between 70 cm and 150 cm.
• • Body mass index (BMI) greater than 50
• • Impossibility of placing the CT belt at the level of the chest skin (lesions, bandages, dressings, chest drains ...)
• • Patients with unstable spinal lesions or fractures
• • Allergy to tomography belt materials: silicone, brass, stainless steel
• • Pacemaker, implantable cardiac defibrillator and other pacemakers
• • 7. Patients under legal protection (tutorship / guardianship)