Skip to main content

Update on Lung Imaging to Select Ventilatory Management in ARDS Patients

  • Chapter
  • First Online:
Practical Issues in Anesthesia and Intensive Care 2013

Abstract

The lung imaging techniques have always been a crucial component for the pathophysiological knowledge and management of the Acute Respiratory Distress Syndrome (ARDS). Recently, the current ARDS definition has been update also clarifying the role of lung imaging in order to optimize the agreement between intensivists and radiologists and to make the clinical use of the definition easier. In this chapter we will focus on the diagnostic assessment, clinical management, technical and clinical limitations of chest X-ray, computed tomography, lung ultrasound, positron emission tomography, electrical impedance tomography and finally magnetic resonance for ARDS management.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Ranieri VM, Rubenfeld GD, Thompson BT, Ferguson ND, Caldwell E, Fan E, Camporota L, Slutsky AS (2012) Acute respiratory distress syndrome: the Berlin definition. JAMA 307:2526–2533

    Article  PubMed  Google Scholar 

  2. Camporota L, Ranieri VM (2012) What’s new in the “Berlin” definition of acute respiratory distress syndrome? Minerva Anestesiol 78:1162–1166

    PubMed  CAS  Google Scholar 

  3. Ferguson ND, Fan E, Camporota L, Antonelli M, Anzueto A, Beale R, Brochard L, Brower R, Esteban A, Gattinoni L, Rhodes A, Slutsky AS, Vincent JL, Rubenfeld GD, Thompson BT, Ranieri VM (2012) The Berlin definition of ARDS: an expanded rationale, justification, and supplementary material. Intensive Care Med 38:1573–1582

    Article  PubMed  Google Scholar 

  4. Aberle DR, Brown K (1990) Radiologic considerations in the adult respiratory distress syndrome. Clin Chest Med 11:737–754

    PubMed  CAS  Google Scholar 

  5. Desai SR (2002) Acute respiratory distress syndrome: imaging of the injured lung. Clin Radiol 57:8–17

    Article  PubMed  Google Scholar 

  6. Lichtenstein D, Goldstein I, Mourgeon E, Cluzel P, Grenier P, Rouby JJ (2004) Comparative diagnostic performances of auscultation, chest radiography, and lung ultrasonography in acute respiratory distress syndrome. Anesthesiology 100:9–15

    Article  PubMed  Google Scholar 

  7. Xirouchaki N, Magkanas E, Vaporidi K, Kondili E, Plataki M, Patrianakos A, Akoumianaki E, Georgopoulos D (2011) Lung ultrasound in critically ill patients: comparison with bedside chest radiography. Intensive Care Med 37:1488–1493

    Article  PubMed  Google Scholar 

  8. Graat ME, Choi G, Wolthuis EK, Korevaar JC, Spronk PE, Stoker J, Vroom MB, Schultz MJ (2006) The clinical value of daily routine chest radiographs in a mixed medical-surgical intensive care unit is low. Crit Care 10:R11

    Article  PubMed  Google Scholar 

  9. Hendrikse KA, Gratama JW, Hove W, Rommes JH, Schultz MJ, Spronk PE (2007) Low value of routine chest radiographs in a mixed medical-surgical ICU. Chest 132:823–828

    Article  PubMed  Google Scholar 

  10. Gattinoni L, Caironi P, Pelosi P, Goodman LR (2001) What has computed tomography taught us about the acute respiratory distress syndrome? Am J Respir Crit Care Med 164:1701–1711

    Article  PubMed  CAS  Google Scholar 

  11. Caironi P, Carlesso E, Gattinoni L (2006) Radiological imaging in acute lung injury and acute respiratory distress syndrome. Semin Respir Crit Care Med 27:404–415

    Article  PubMed  Google Scholar 

  12. Pelosi P, D’Andrea L, Vitale G, Pesenti A, Gattinoni L (1994) Vertical gradient of regional lung inflation in adult respiratory distress syndrome. Am J Respir Crit Care Med 149:8–13

    Article  PubMed  CAS  Google Scholar 

  13. Gattinoni L, Mascheroni D, Torresin A, Marcolin R, Fumagalli R, Vesconi S, Rossi GP, Rossi F, Baglioni S, Bassi F (1986) Morphological response to positive end expiratory pressure in acute respiratory failure. Computerized tomography study. Intensive Care Med 12:137–142

    Article  PubMed  CAS  Google Scholar 

  14. Sheard S, Rao P, Devaraj A (2012) Imaging of acute respiratory distress syndrome. Respir Care 57:607–612

    Article  PubMed  Google Scholar 

  15. Gattinoni L, Pesenti A (2005) The concept of “baby lung”. Intensive Care Med 31:776–784

    Article  PubMed  Google Scholar 

  16. Gattinoni L, Caironi P, Cressoni M, Chiumello D, Ranieri VM, Quintel M, Russo S, Patroniti N, Cornejo R, Bugedo G (2006) Lung recruitment in patients with the acute respiratory distress syndrome. N Engl J Med 354:1775–1786

    Article  PubMed  CAS  Google Scholar 

  17. Gattinoni L, Pesenti A, Avalli L, Rossi F, Bombino M (1987) Pressure-volume curve of total respiratory system in acute respiratory failure. Computed tomographic scan study. Am Rev Respir Dis 136:730–736

    Article  PubMed  CAS  Google Scholar 

  18. Chung JH, Kradin RL, Greene RE, Shepard JA, Digumarthy SR (2011) CT predictors of mortality in pathology confirmed ARDS. Eur Radiol 21:730–737

    Article  PubMed  Google Scholar 

  19. Chiumello D, Marino A, Brioni M, Menga F, Cigada I, Lazzerini M, Andrisani MC, Biondetti P, Cesana B, Gattinoni L (2012) Visual anatomical lung CT scan assessment of lung recruitability. Intensive Care Med 39(1):66–73

    Google Scholar 

  20. Agricola E, Arbelot C, Blaivas M, Bouhemad B, Copetti R, Dean A, Dulchavsky S, Elbarbary M, Gargani L, Hoppmann R, Kirkpatrick AW, Lichtenstein D, Liteplo A, Mathis G, Melniker L, Neri L, Noble VE, Petrovic T, Reissig A, Rouby JJ, Seibel A, Soldati G, Storti E, Tsung JW, Via G, Volpicelli G (2011) Ultrasound performs better than radiographs. Thorax 66:828–829

    Article  PubMed  Google Scholar 

  21. Bouhemad B, Zhang M, Lu Q, Rouby JJ (2007) Clinical review: Bedside lung ultrasound in critical care practice. Crit Care 11:205

    Article  PubMed  Google Scholar 

  22. Volpicelli G, Elbarbary M, Blaivas M, Lichtenstein DA, Mathis G, Kirkpatrick AW, Melniker L, Gargani L, Noble VE, Via G, Dean A, Tsung JW, Soldati G, Copetti R, Bouhemad B, Reissig A, Agricola E, Rouby JJ, Arbelot C, Liteplo A, Sargsyan A, Silva F, Hoppmann R, Breitkreutz R, Seibel A, Neri L, Storti E, Petrovic T (2012) International evidence-based recommendations for point-of-care lung ultrasound. Intensive Care Med 38:577–591

    Article  PubMed  Google Scholar 

  23. Via G, Storti E, Gulati G, Neri L, Mojoli F, Braschi A (2012) Lung ultrasound in the ICU: from diagnostic instrument to respiratory monitoring tool. Minerva Anestesiol 78:1282–1296

    PubMed  CAS  Google Scholar 

  24. Bouhemad B, Liu ZH, Arbelot C, Zhang M, Ferarri F, Le Guen M, Girard M, Lu Q, Rouby JJ (2010) Ultrasound assessment of antibiotic-induced pulmonary reaeration in ventilator-associated pneumonia. Crit Care Med 38:84–92

    Article  PubMed  Google Scholar 

  25. Vieira SR, Puybasset L, Richecoeur J, Lu Q, Cluzel P, Gusman PB, Coriat P, Rouby JJ (1998) A lung computed tomographic assessment of positive end-expiratory pressure-induced lung overdistension. Am J Respir Crit Care Med 158:1571–1577

    Article  PubMed  CAS  Google Scholar 

  26. Copetti R, Soldati G, Copetti P (2008) Chest sonography: a useful tool to differentiate acute cardiogenic pulmonary edema from acute respiratory distress syndrome. Cardiovasc Ultrasound 6:16

    Article  PubMed  Google Scholar 

  27. Gargani L, Lionetti V, Di Cristofano C, Bevilacqua G, Recchia FA, Picano E (2007) Early detection of acute lung injury uncoupled to hypoxemia in pigs using ultrasound lung comets. Crit Care Med 35:2769–2774

    Article  PubMed  Google Scholar 

  28. Reissig A, Kroegel C (2007) Sonographic diagnosis and follow-up of pneumonia: a prospective study. Respiration 74:537–547

    Article  PubMed  Google Scholar 

  29. Agricola E, Bove T, Oppizzi M, Marino G, Zangrillo A, Margonato A, Picano E (2005) “Ultrasound comet-tail images”: a marker of pulmonary edema: a comparative study with wedge pressure and extravascular lung water. Chest 127:1690–1695

    Article  PubMed  Google Scholar 

  30. Agricola E, Picano E, Oppizzi M, Pisani M, Meris A, Fragasso G, Margonato A (2006) Assessment of stress-induced pulmonary interstitial edema by chest ultrasound during exercise echocardiography and its correlation with left ventricular function. J Am Soc Echocardiogr 19:457–463

    Article  PubMed  Google Scholar 

  31. Volpicelli G, Caramello V, Cardinale L, Mussa A, Bar F, Frascisco MF (2008) Bedside ultrasound of the lung for the monitoring of acute decompensated heart failure. Am J Emerg Med 26:585–591

    Article  PubMed  Google Scholar 

  32. Gardelli G, Feletti F, Gamberini E, Bonarelli S, Nanni A, Mughetti M (2009) Using sonography to assess lung recruitment in patients with acute respiratory distress syndrome. Emerg Radiol 16:219–221

    Article  PubMed  Google Scholar 

  33. Tsubo T, Yatsu Y, Suzuki A, Iwakawa T, Okawa H, Ishihara H, Matsuki A (2001) Daily changes of the area of density in the dependent lung region—evaluation using transesophageal echocardiography. Intensive Care Med 27:1881–1886

    Article  PubMed  CAS  Google Scholar 

  34. Tsubo T, Sakai I, Suzuki A, Okawa H, Ishihara H, Matsuki A (2001) Density detection in dependent left lung region using transesophageal echocardiography. Anesthesiology 94:793–798

    Article  PubMed  CAS  Google Scholar 

  35. Tsubo T, Yatsu Y, Tanabe T, Okawa H, Ishihara H, Matsuki A (2004) Evaluation of density area in dorsal lung region during prone position using transesophageal echocardiography. Crit Care Med 32:83–87

    Article  PubMed  Google Scholar 

  36. Stefanidis K, Dimopoulos S, Tripodaki ES, Vitzilaios K, Politis P, Piperopoulos P, Nanas S (2011) Lung sonography and recruitment in patients with early acute respiratory distress syndrome: a pilot study. Crit Care 15:R185

    Article  PubMed  Google Scholar 

  37. Bouhemad B, Brisson H, Le Guen M, Arbelot C, Lu Q, Rouby JJ (2011) Bedside ultrasound assessment of positive end-expiratory pressure-induced lung recruitment. Am J Respir Crit Care Med 183:341–347

    Article  PubMed  Google Scholar 

  38. Taylor IK, Hill AA, Hayes M, Rhodes CG, O’Shaughnessy KM, O’Connor BJ, Jones HA, Hughes JM, Jones T, Pride NB, Fuller RW (1996) Imaging allergen-invoked airway inflammation in atopic asthma with [18F]-fluorodeoxyglucose and positron emission tomography. Lancet 347:937–940

    Article  PubMed  CAS  Google Scholar 

  39. Chen DL, Ferkol TW, Mintun MA, Pittman JE, Rosenbluth DB, Schuster DP (2006) Quantifying pulmonary inflammation in cystic fibrosis with positron emission tomography. Am J Respir Crit Care Med 173:1363–1369

    Article  PubMed  Google Scholar 

  40. Brudin LH, Valind SO, Rhodes CG, Pantin CF, Sweatman M, Jones T, Hughes JM (1994) Fluorine-18 deoxyglucose uptake in sarcoidosis measured with positron emission tomography. Eur J Nucl Med 21:297–305

    Article  PubMed  CAS  Google Scholar 

  41. Jones HA, Donovan T, Goddard MJ, McNeil K, Atkinson C, Clark JC, White JF, Chilvers ER (2004) Use of 18FDG-pet to discriminate between infection and rejection in lung transplant recipients. Transplantation 77:1462–1464

    Article  PubMed  Google Scholar 

  42. Fischer BM, Lassen U, Hojgaard L (2011) PET-CT in preoperative staging of lung cancer. N Engl J Med 364:980–981

    Article  PubMed  CAS  Google Scholar 

  43. Bellani G, Amigoni M, Pesenti A (2011) Positron emission tomography in ARDS: a new look at an old syndrome. Minerva Anestesiol 77:439–447

    PubMed  CAS  Google Scholar 

  44. Musch G (2011) Positron emission tomography: a tool for better understanding of ventilator-induced and acute lung injury. Curr Opin Crit Care 17:7–12

    Article  PubMed  Google Scholar 

  45. Jones HA, Schofield JB, Krausz T, Boobis AR, Haslett C (1998) Pulmonary fibrosis correlates with duration of tissue neutrophil activation. Am J Respir Crit Care Med 158:620–628

    Article  PubMed  CAS  Google Scholar 

  46. Jones HA, Clark RJ, Rhodes CG, Schofield JB, Krausz T, Haslett C (1994) In vivo measurement of neutrophil activity in experimental lung inflammation. Am J Respir Crit Care Med 149:1635–1639

    Article  PubMed  CAS  Google Scholar 

  47. de Prost N, Tucci MR, Melo MF (2010) Assessment of lung inflammation with 18F-FDG PET during acute lung injury. AJR Am J Roentgenol 195:292–300

    Article  PubMed  Google Scholar 

  48. Bellani G, Messa C, Guerra L, Spagnolli E, Foti G, Patroniti N, Fumagalli R, Musch G, Fazio F, Pesenti A (2009) Lungs of patients with acute respiratory distress syndrome show diffuse inflammation in normally aerated regions: a [18F]-fluoro-2-deoxy-d-glucose PET/CT study. Crit Care Med 37:2216–2222

    Article  PubMed  Google Scholar 

  49. Rodrigues RS, Miller PR, Bozza FA, Marchiori E, Zimmerman GA, Hoffman JM, Morton KA (2008) FDG-PET in patients at risk for acute respiratory distress syndrome: a preliminary report. Intensive Care Med 34:2273–2278

    Article  PubMed  CAS  Google Scholar 

  50. Schuster DP, Stark T, Stephenson J, Royal H (2002) Detecting lung injury in patients with pulmonary edema. Intensive Care Med 28:1246–1253

    Article  PubMed  Google Scholar 

  51. Rhodes CG, Hughes JM (1995) Pulmonary studies using positron emission tomography. Eur Respir J 8:1001–1017

    PubMed  CAS  Google Scholar 

  52. Chen DL, Bedient TJ, Kozlowski J, Rosenbluth DB, Isakow W, Ferkol TW, Thomas B, Mintun MA, Schuster DP, Walter MJ (2009) [18F] fluorodeoxyglucose positron emission tomography for lung antiinflammatory response evaluation. Am J Respir Crit Care Med 180:533–539

    Article  PubMed  CAS  Google Scholar 

  53. Bayford RH (2006) Bioimpedance tomography (electrical impedance tomography). Annu Rev Biomed Eng 8:63–91

    Article  PubMed  CAS  Google Scholar 

  54. Bodenstein M, David M, Markstaller K (2009) Principles of electrical impedance tomography and its clinical application. Crit Care Med 37:713–724

    Article  PubMed  Google Scholar 

  55. Brown BH (2003) Electrical impedance tomography (EIT): a review. J Med Eng Technol 27:97–108

    Article  PubMed  CAS  Google Scholar 

  56. Costa EL, Chaves CN, Gomes S, Beraldo MA, Volpe MS, Tucci MR, Schettino IA, Bohm SH, Carvalho CR, Tanaka H, Lima RG, Amato MB (2008) Real-time detection of pneumothorax using electrical impedance tomography. Crit Care Med 36:1230–1238

    Article  PubMed  Google Scholar 

  57. Constantin J (2012) Lung imaging in patients with acute respiratory distress syndrome: from an understanding of pathophysiology to bedside monitoring. Minerva Anest. 79(2):176–184

    Google Scholar 

  58. Costa EL, Lima RG, Amato MB (2009) Electrical impedance tomography. Curr Opin Crit Care 15:18–24

    Article  PubMed  Google Scholar 

  59. Leonhardt S, Lachmann B (2012) Electrical impedance tomography: the holy grail of ventilation and perfusion monitoring? Intensive Care Med 38:1917–1929

    Article  PubMed  Google Scholar 

  60. Luecke T, Corradi F, Pelosi P (2012) Lung imaging for titration of mechanical ventilation. Curr Opin Anaesthesiol 25:131–140

    Article  PubMed  Google Scholar 

  61. Lundin S, Stenqvist O (2012) Electrical impedance tomography: potentials and pitfalls. Curr Opin Crit Care 18:35–41

    Article  PubMed  Google Scholar 

  62. Moerer O, Hahn G, Quintel M (2011) Lung impedance measurements to monitor alveolar ventilation. Curr Opin Crit Care 17:260–267

    Article  PubMed  Google Scholar 

  63. Muders T, Luepschen H, Putensen C (2010) Impedance tomography as a new monitoring technique. Curr Opin Crit Care 16:269–275

    Article  PubMed  Google Scholar 

  64. Gattinoni L, Carlesso E, Caironi P (2012) Stress and strain within the lung. Curr Opin Crit Care 18:42–47

    Article  PubMed  Google Scholar 

  65. Mead J, Takishima T, Leith D (1970) Stress distribution in lungs: a model of pulmonary elasticity. J Appl Physiol 28:596–608

    PubMed  CAS  Google Scholar 

  66. Grychtol B, Wolf GK, Adler A, Arnold JH (2010) Towards lung EIT image segmentation: automatic classification of lung tissue state from analysis of EIT monitored recruitment manoeuvres. Physiol Meas 31:S31–S43

    Article  PubMed  Google Scholar 

  67. Hinz J, Hahn G, Neumann P, Sydow M, Mohrenweiser P, Hellige G, Burchardi H (2003) End-expiratory lung impedance change enables bedside monitoring of end-expiratory lung volume change. Intensive Care Med 29:37–43

    PubMed  CAS  Google Scholar 

  68. van der Beek FB, Boermans PP, Verbist BM, Briaire JJ, Frijns JH (2005) Clinical evaluation of the Clarion CII HiFocus 1 with and without positioner. Ear Hear 26:577–592

    Article  PubMed  Google Scholar 

  69. Pulletz S, Adler A, Kott M, Elke G, Gawelczyk B, Schadler D, Zick G, Weiler N, Frerichs I (2012) Regional lung opening and closing pressures in patients with acute lung injury. J Crit Care 27:323–328

    Article  PubMed  Google Scholar 

  70. Costa EL, Borges JB, Melo A, Suarez-Sipmann F, Toufen C Jr (2009) Bohm SH, Amato MB: Bedside estimation of recruitable alveolar collapse and hyperdistension by electrical impedance tomography. Intensive Care Med 35:1132–1137

    Article  PubMed  Google Scholar 

  71. Gomez-Laberge C, Arnold JH, Wolf GK (2012) A unified approach for EIT imaging of regional overdistension and atelectasis in acute lung injury. IEEE Trans Med Imaging 31:834–842

    Article  PubMed  Google Scholar 

  72. Lowhagen K, Lundin S, Stenqvist O (2010) Regional intratidal gas distribution in acute lung injury and acute respiratory distress syndrome–assessed by electric impedance tomography. Minerva Anestesiol 76:1024–1035

    PubMed  CAS  Google Scholar 

  73. Lowhagen K, Lindgren S, Odenstedt H, Stenqvist O, Lundin S (2011) A new non-radiological method to assess potential lung recruitability: a pilot study in ALI patients. Acta Anaesthesiol Scand 55:165–174

    Article  PubMed  CAS  Google Scholar 

  74. Zhao Z, Moller K, Steinmann D, Frerichs I, Guttmann J (2009) Evaluation of an electrical impedance tomography-based global inhomogeneity index for pulmonary ventilation distribution. Intensive Care Med 35:1900–1906

    Article  PubMed  Google Scholar 

  75. Zhao Z, Steinmann D, Frerichs I, Guttmann J, Moller K (2010) PEEP titration guided by ventilation homogeneity: a feasibility study using electrical impedance tomography. Crit Care 14:R8

    Article  PubMed  Google Scholar 

  76. Muders T, Luepschen H, Zinserling J, Greschus S, Fimmers R, Guenther U, Buchwald M, Grigutsch D, Leonhardt S, Putensen C, Wrigge H (2012) Tidal recruitment assessed by electrical impedance tomography and computed tomography in a porcine model of lung injury*. Crit Care Med 40:903–911

    Article  PubMed  Google Scholar 

  77. Wrigge H, Zinserling J, Muders T, Varelmann D, Gunther U, von der GC, Magnusson A, Hedenstierna G, Putensen C (2008) Electrical impedance tomography compared with thoracic computed tomography during a slow inflation maneuver in experimental models of lung injury. Crit Care Med 36:903–909

    Google Scholar 

  78. Borges JB, Suarez-Sipmann F, Bohm SH, Tusman G, Melo A, Maripuu E, Sandstrom M, Park M, Costa EL, Hedenstierna G, Amato M (2012) Regional lung perfusion estimated by electrical impedance tomography in a piglet model of lung collapse. J Appl Physiol 112:225–236

    Article  PubMed  Google Scholar 

  79. Adler A, Amyot R, Guardo R, Bates JH, Berthiaume Y (1997) Monitoring changes in lung air and liquid volumes with electrical impedance tomography. J Appl Physiol 83:1762–1767

    PubMed  CAS  Google Scholar 

  80. Marquis F, Coulombe N, Costa R, Gagnon H, Guardo R, Skrobik Y (2006) Electrical impedance tomography’s correlation to lung volume is not influenced by anthropometric parameters. J Clin Monit Comput 20:201–207

    Article  PubMed  Google Scholar 

  81. Bikker IG, Preis C, Egal M, Bakker J, Gommers D (2011) Electrical impedance tomography measured at two thoracic levels can visualize the ventilation distribution changes at the bedside during a decremental positive end-expiratory lung pressure trial. Crit Care 15:R193

    Article  PubMed  Google Scholar 

  82. Cereda M, Emami K, Kadlecek S, Xin Y, Mongkolwisetwara P, Profka H, Barulic A, Pickup S, Mansson S, Wollmer P, Ishii M, Deutschman CS, Rizi RR (2011) Quantitative imaging of alveolar recruitment with hyperpolarized gas MRI during mechanical ventilation. J Appl Physiol 110:499–511

    Article  PubMed  Google Scholar 

  83. Kauczor HU (2009) MRI of the lung. Springer, Berlin

    Book  Google Scholar 

  84. Emami K, Stephen M, Kadlecek S, Cadman RV, Ishii M, Rizi RR (2009) Quantitative assessment of lung using hyperpolarized magnetic resonance imaging. Proc Am Thorac Soc 6:431–438

    Article  PubMed  Google Scholar 

  85. Hopkins SR (2004) Functional magnetic resonance imaging of the lung: a physiological perspective. J Thorac Imaging 19:228–234

    Article  PubMed  Google Scholar 

  86. Matsuoka S, Hunsaker AR, Gill RR, Jacobson FL, Ohno Y, Patz S, Hatabu H (2008) Functional MR imaging of the lung. Magn Reson Imaging Clin N Am 16:275–289

    Article  PubMed  Google Scholar 

  87. Fain SB, Korosec FR, Holmes JH, O’Halloran R, Sorkness RL, Grist TM (2007) Functional lung imaging using hyperpolarized gas MRI. J Magn Reson Imaging 25:910–923

    Article  PubMed  Google Scholar 

  88. Pinilla I, de Gracia MM, Quintana-Diaz M, Figueira JC (2011) Radiological prognostic factors in patients with pandemic H1N1 (pH1N1) infection requiring hospital admission. Emerg Radiol 18:313–319

    Google Scholar 

  89. Endo S, Shibata S, Sato N, Hashiba E, Tajimi K, Saito K, Kawamae K, Nakane M, Murakawa M (2010) A prospective cohort study of ALI/ARDS in the Tohoku district of Japan (second report). J Anesth 24:351–358

    Google Scholar 

  90. Wang S, Ruan Z, Zhang J, Jin W (2011) The value of pulmonary contusion volume measurement with three-dimensional computed tomography in predicting acute respiratory distress syndrome development. Ann Thorac Surg 92:1977–1983

    Google Scholar 

  91. Strumwasser A, Chu E, Yeung L, Miraflor E, Sadjadi J, Victorino GP (2011) A novel CT volume index score correlates with outcomes in polytrauma patients with pulmonary contusion. J Surg Res 170:280–285

    Google Scholar 

  92. Cianchi G, Bonizzoli M, Pasquini A, Bonacchi M, Zagli G, Ciapetti M, Sani G, Batacchi S, Biondi S, Bernardo P, Lazzeri C, Giovannini V, Azzi A, Abbate R, Gensini G, Peris A (2011) Ventilatory and ECMO treatment of H1N1-induced severe respiratory failure: results of an Italian referral ECMO center. BMC Pulm Med 11:2

    Google Scholar 

  93. Masclans JR, Roca O, Munoz X, Pallisa E, Torres F, Rello J, Morell F (2011) Quality of life, pulmonary function, and tomographic scan abnormalities after ARDS. Chest 139:1340–1346

    Google Scholar 

  94. Grieser C, Goldmann A, Steffen IG, Kastrup M, Fernandez CM, Engert U, Deja M, Lojewski C, Denecke T (2012) Computed tomography findings from patients with ARDS due to Influenza A (H1N1) virus-associated pneumonia. Eur J Radiol 81:389–394

    Google Scholar 

  95. Yoshida T, Rinka H, Kaji A, Yoshimoto A, Arimoto H, Miyaichi T, Kan M (2009) The impact of spontaneous ventilation on distribution of lung aeration in patients with acute respiratory distress syndrome: airway pressure release ventilation versus pressure support ventilation. Anesth Analg 109:1892–1900

    Google Scholar 

  96. Lu Q, Zhang M, Girardi C, Bouhemad B, Kesecioglu J, Rouby JJ (2010) Computed tomography assessment of exogenous surfactant-induced lung reaeration in patients with acute lung injury. Crit Care 14:135

    Google Scholar 

  97. Caironi P, Cressoni M, Chiumello D, Ranieri M, Quintel M, Russo SG, Cornejo R, Bugedo G, Carlesso E, Russo R, Caspani L, Gattinoni L (2010) Lung opening and closing during ventilation of acute respiratory distress syndrome. Am J Respir Crit Care Med 181:578–586

    Google Scholar 

  98. Mentzelopoulos SD, Theodoridou M, Malachias S, Sourlas S, Exafchos DN, Chondros D, Roussos C, Zakynthinos SG (2011) Scanographic comparison of high frequency oscillation with versus without tracheal gas insufflation in acute respiratory distress syndrome. Intensive Care Med 37(6):990–999

    Google Scholar 

  99. Beuhn A, Baugedo D, Riquelme F, Varas J, Retamal J, Besa C, Carbera C, Bugedo G (2011) Tidal volume is a major determinant of cyclic recruitment-derecruitment in acute respiratory distress syndrome. Minerva Anestesiol 77(4):418–426

    Google Scholar 

  100. Dakin J, Jones AT, Hansell DM, Hoffman EA, Evans TW (2011) Changes in lung composition and regional perfusion and tissue distribution in patients with ARDS. Respirology 16:1265–1272

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Davide Chiumello .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2014 Springer-Verlag Italia

About this chapter

Cite this chapter

Chiumello, D., Froio, S., Coppola, S. (2014). Update on Lung Imaging to Select Ventilatory Management in ARDS Patients. In: Allaria, B. (eds) Practical Issues in Anesthesia and Intensive Care 2013. Springer, Milano. https://doi.org/10.1007/978-88-470-5529-2_6

Download citation

  • DOI: https://doi.org/10.1007/978-88-470-5529-2_6

  • Published:

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-5528-5

  • Online ISBN: 978-88-470-5529-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics