September 17, 2026 · Anesthesiology · DOI: 10.1097/ALN.0000000000006373

Short-term Modification of Postoperative Ventilation Phenotypes With Electrical Impedance Tomography-guided Positive End-expiratory Pressure Titration

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The authors aimed to determine whether electrical impedance tomography (EIT)-guided positive end-expiratory pressure (PEEP) titration could acutely modify postoperative ventilation inhomogeneity and improve cardiopulmonary function in mechanically ventilated patients. Their study found that this approach successfully achieved immediate conversion to a more homogeneous ventilation pattern in 96.7% of patients, with associated improvements in respiratory compliance and oxygenation. The findings suggest that EIT-guided PEEP titration may be a viable strategy for enhancing regional ventilation and reducing the risk of postoperative pulmonary complications.

Taiki Hoshino, Yuto Yoshida, Takashi Maezawa, Hirofumi Iwata, Hiroki Taenaka, Haruka Hashimoto, Yukiko Koyama, Tomomi Yamada, Takeshi Yoshida

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