Electrical impedance tomography (EIT) is a non-invasive, bedside monitoring technique that provides continuous, real-time information about the regional distribution of the ventilation.
There are very few data in children admitted to the PICU (pediatric intensive care unit) and the aim of the study is to describe the distribution of the ventilation in children with acute respiratory failure and to study the impact of the interventions in the PICU (change in ventilatory settings, change in position, suction, respiratory kinesiotherapy,…)
children < 18 years
Admitted to the PICU with acute respiratory failure
Monitoring with EIT
non opposition of parents or legal representative Groupe B
Monitor not available
contra indication to the use of thoracic belt
Intraoperative period with use of electrocautery
Child not affiliated to a social security system and under protective measures legal
250 Childrens group A: Patient \< 18 years old admitted to a continuous monitoring unit - resuscitation for acute respiratory failure regardless of the ventilation modality and benefiting from TIE monitoring Group B (reference): Patient under general anesthesia with mechanical ventilation without respiratory pathology.
Cohort
Prospective
Electrical impedance tomography
Procedure/SurgeryAll change in ventilator settings (mode, tidal volume or inspiratory pressure, Peep, recruitment…)
Distribution of Ventilation
Distribution of ventilation as determined by changes in impedence in region of interest
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