Use of Electrical Impedance Tomography (EIT) to Estimate Tidal Volume in Anaesthetized Horses Undergoing Elective Surgery

Animals

AndreasD. Waldmann¹  Martina Mosing²  Benedetta Crivellari²  Giselle Hosgood²  David Murphy²  Anthea Raisis² 

[1] Department of Anesthesiology and Intensive Care Medicine, Rostock University Medical Center, 39071 Rostock, Germany;School of Veterinary Medicine, Murdoch University, Murdoch 6150, Australia;

关键词: airway dead space;    alveolar ventilation;    equine;    spirometry;    volumetric capnography;   

DOI  :  10.3390/ani11051350

来源: DOAJ

【 摘 要 】

This study explores the application of electric impedance tomography (EIT) to estimate tidal volume (VT) by measuring impedance change per breath (∆Z_breath). Seventeen healthy horses were anaesthetised and mechanically ventilated for elective procedures requiring dorsal recumbency. Spirometric VT (VT_SPIRO) and ∆Z_breath were recorded periodically; up to six times throughout anaesthesia. Part 1 assessed these variables at incremental delivered VT of 10, 12 and 15 mL/kg. Part 2 estimated VT (VT_EIT) in litres from ∆Z_breath at three additional measurement points using a line of best fit obtained from Part 1. During part 2, VT was adjusted to maintain end-tidal carbon dioxide between 45–55 mmHg. Linear regression determined the correlation between VT_SPIRO and ∆Z_breath (part 1). Estimated VT_EIT was assessed for agreement with measured VT_SPIRO using Bland Altman analysis (part 2). Marked variability in slope and intercepts was observed across horses. Strong positive correlation between ∆Z_breath and VT_SPIRO was found in each horse (R² 0.9–0.99). The agreement between VT_EIT and VT_SPIRO was good with bias (LOA) of 0.26 (−0.36–0.88) L. These results suggest that, in anaesthetised horses, EIT can be used to monitor and estimate VT after establishing the individual relationship between these variables.

【 授权许可】

Unknown