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'''Is It Possible To Visualize Efficiency of High Flow Nasal Cannula by Electrical Impedance Tomography ?''

özlem öner; Begüm Ergan; Esra Duğral; Ayşe sezin Kızıl; M.Çağatay Gürkök; Ali Necati Gökmen

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    <subfield code="a">&lt;p&gt;&lt;strong&gt;ABSTRACT:&lt;/strong&gt;&lt;/p&gt;

&lt;p&gt;&amp;nbsp;&lt;/p&gt;

&lt;pre&gt;&lt;strong&gt;Background/Aim: &lt;/strong&gt;&lt;/pre&gt;

&lt;pre&gt;The aim of this study is to visualize the effect of a high flow nasal cannula&amp;nbsp; (HFNC) in patients with the diagnosis of COVID-19 acute respiratory distress syndrome followed up in intensive care unit (ICU) with the use of electrical impedance tomography (EIT). &lt;/pre&gt;

&lt;pre&gt;
&amp;nbsp;&lt;/pre&gt;

&lt;pre&gt;Materials and methods: &lt;/pre&gt;

&lt;pre&gt;In two different flow rates, in supine and prone positions, and with the help of HFNC, &amp;nbsp;oxygen therapy was applied. Patients&amp;rsquo; EIT-based parameters (global inhomogeneity index (GI index), Center of Ventilation (CoV), Regional Ventilation Delay index (RVD index), Region of Interest Ratio (ROI ratio)), respiratory &amp;nbsp;and hemodynamic parameters were recorded from the database.&lt;/pre&gt;

&lt;pre&gt;
&amp;nbsp;&lt;/pre&gt;

&lt;pre&gt;Results:&lt;/pre&gt;

&lt;p&gt;Bu retrospektif g&amp;ouml;zlemsel &amp;ccedil;alışmaya yirmi hasta dahil edildi. Akış hızı kademeli olarak taban &amp;ccedil;izgisinden 50 L / dak&amp;#39;ya ve eğilimli konuma y&amp;uuml;kseldiğinde; GI endeksinin anlamlı ve tutarlı bir d&amp;uuml;ş&amp;uuml;ş eğilimi: 0,55&amp;plusmn;0,02 (p &amp;lt; 0,0001), CoV: 42,98&amp;plusmn;0,93 (p &amp;lt;0,0001), RVD endeksi: 3,38&amp;plusmn;1,13 (p = 0,006), ROI oranı:1,39&amp;plusmn;0,16 (p &amp;lt;0,0001), respiartory oran: 21,3,3,57 (p &amp;plusmn; 0,0001), ortalama arteriyel basın&amp;ccedil;: 81,5&amp;plusmn;&amp;lt;10,95 (p=0,004) ve azalan PaO 2/FiO&lt;sub&gt;2. &lt;/sub&gt; oranı (kısmi arteriyel oksijen basıncı/esinlenmiş oksijen fraksiyonu): 203,1&amp;plusmn;33,44 ((p &amp;lt; 0.0001) g&amp;ouml;zlendi.&lt;/p&gt;

&lt;p&gt;&amp;nbsp;&lt;/p&gt;

&lt;pre&gt;Conclusion:&lt;/pre&gt;

&lt;pre&gt;It is found using EIT parameters that in patients with COVID-19 ARDS, prone position and increasing flow rate decreases lung heterogeneity.&lt;/pre&gt;

&lt;pre&gt;
&amp;nbsp;&lt;/pre&gt;

&lt;p&gt;&amp;nbsp;&lt;/p&gt;

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Yayınlanma tarihi:
14/07/2022
DOI:
10.48623/aperta.228346

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Bilim dalları:
Sağlık Bilimleri > Tıp > Cerrahi Tıp Bilimleri > Anesteziyoloji > Reanimasyon
Anahtar kelimeler:
Electrical ımpedans Tomography High Flow nasal cannula COVID-19 ARDS
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