Recommendations for lung ventilation and perfusion assessment with chest electrical impedance tomography in critically ill adult patients: an international evidence-based and expert Delphi consensus study

作者：Huaiwu He, Zhanqi Zhao, Tobias Becher, Giacomo Bellani, Takeshi Yoshida, Marcelo B. P. Amato, Yun Long, Inéz Frerichs, Richard Bayford, Lorenzo Berra, Marc Bodenstein, João Batista Borges, Eduardo Leite Vieira Costa, Ewan C. Goligher, Serge J Heines, Annemijn H. Jonkman, Tommaso Mauri, Luca Salvatore Menga, Thomas Muder, Thomas Piraino, Sven Pulletz, Gaetano Scaramuzzo, Matthieu Schmidt, Atsuko Shono, Elena Spinelli, Fernando Suarez-Sipmann, Eung Je Woo, Hermann Wrigge, Yi Chi, Yelin Gao, Ling Sang · 发表于：EClinicalMedicine · 年份：2025 · DOI：10.1016/j.eclinm.2025.103575 · 被引用次数：27 · 研究领域：Electrical and Bioimpedance Tomography、Respiratory Support and Mechanisms、Hemodynamic Monitoring and Therapy

Background: Electrical impedance tomography (EIT) is a non-invasive, radiation-free imaging technique that allows for monitoring of lung ventilation and perfusion at the bedside. However, there is a lack of evidence-based and international expert consensus statement of EIT clinical applications in adult critically ill patients. The purpose of this study was to provide evidence-based and expert consensus recommendations for lung ventilation and perfusion assessment with chest EIT in adult critically ill patients. Methods: A English literature search was conducted of MEDLINE, EMBASE, Web of Science and Cochrane Library databases between January 1, 1990, and J March 22, 2024. Eligible literature included systematic reviews, meta-analyses, cohort/clinical trials, case reports and review articles that focused on chest EIT application for lung ventilation and perfusion in adult population. The animal studies were excluded. An international global panel of intensivists, physicians, biomedical engineers with expertise in the field of EIT clinical applications, guideline methodologists and biostatisticians, was convened. The Oxford Centre of Evidence Based Medicine's Levels of Evidence method was used to rate the quality of evidence and the strength of recommendations. Subsequently, with a Delphi process (two online surveys at June 3 and September 13, 2024), a group of expanded global experts from 12 different countries developed recommendations. We defined a strong consensus as agree...