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