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- Title
Lung recruitment in ARDS patients.
- Authors
Arnal, Jean-Michel; Garnero, Aude
- Abstract
Lung recruitment is used to improve oxygenation and decrease the risk of ventilator induced lung injuries. Assessing the potential of recruitability is a pre-requisite for a rational recruitment strategy and setting of PEEP. Using a low flow pressure-volume loop is helpful to assess the potential of recruitability at the bedside. For patients with a high potential of recruitability, recruitment maneuvers are efficient with an appropriate setting of PEEP to maintain the lung recruited. Recruitment maneuvers use pressures from 40 to 60 cmH2O for a short period of time, either with the sustained inflation or the staircase method. PEEP setting after the maneuver is important; a decreasing PEEP trial is a useful practical method.
- Subjects
ADULT respiratory distress syndrome; HYPERBARIC oxygenation; MECHANICAL ventilators; LUNG injuries; PATIENT monitoring; CLINICAL trials; PATIENTS
- Publication
Acta Medica Lituanica, 2012, Vol 19, Issue 3, p201
- ISSN
1392-0138
- Publication type
Article
- DOI
10.6001/actamedica.v19i3.2449