The study included patients with ARDS (P/F <200), difficult ventilator weaning, severe COVID-19, extensive pulmonary infiltrates, acute COPD exacerbation, pulmonary fibrosis, and post-lobectomy.
The Respiratory Therapy Team of the Division of Pulmonary and Critical Care Medicine at Far Eastern Memorial Hospital has implemented Electrical Impedance Tomography, a noninvasive, real-time bedside imaging modality, to precisely guide optimal positive end-expiratory pressure (PEEP) titration in patients with Acute Respiratory Distress Syndrome and to establish individualized training protocols for patients with difficult ventilator weaning based on regional lung ventilation distribution.
Real-time bedside EIT ventilation monitoring
Automated Optimal PEEP titration calculation
Individualized ventilator weaning plans
Integrated diaphragmatic tolerance analysis
Cloud-based real-time RT parameters upload
Taiwan-first ARDS EIT self-pay examm
ARDS cases: >258
Difficult ventilator weaning: >162
COPD cases: 49
Cumulative EIT SCI papers: 14 (FEMH)
Taiwan total: 32 EIT SCI papers (FEMH 14)
28 respiratory therapists, 7 pulmonologists
Prolonged ventilator weaning success: 74%
Higher than national avg 45%
Better than US/EU avg 64%
Far exceeds Asia avg (China, Thailand) 19%
ARDS 90-day mortality reduced >25%
TCPI medical center indicators top 25% for years
EIT ARDS execution since 2017: 100%
Two respiratory therapists + physician + nurse throughout
Equipment meets IEC 60601-1-11 standards
Zero radiation, reusable
EIT seed personnel oversee quality
Cloud parameter accuracy: 98%
EIT process satisfaction: ≥4.7/5
Individualized family satisfaction surveys
Continuous follow-up and improvement
COVID-19 severe patients safely completed examinations
Treated most COVID-19 severe cases in Taiwan
High medical team trust
Hosted international EIT symposium
Trained Korean, NK, Indonesian, Belize, Chinese physicians
2020 donated ventilators to Belize
14 SCI papers leading in Asia
Algorithm co-developed with Germany-based Chao
Cross-national RCTs on par with top US/EU institutions
~30% moderate-severe ARDS avoid CT transport
Shortens ventilator and ICU days
Improves COVID-19 severe survival
Drives paperless cloud-based respiratory care
Trains respiratory therapists in emerging Asian countries
