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. 2005 Oct 5;9(5):424-6.
doi: 10.1186/cc3800. Epub 2005 Aug 18.

Recruitment maneuvers and positive end-expiratory pressure/tidal ventilation titration in acute lung injury/acute respiratory distress syndrome: translating experimental results to clinical practice

Carmen Sílvia Valente Barbas  1 , Gustavo Faissol de Mattos, Eduardo da Rosa Borges
Affiliations

Recruitment maneuvers and positive end-expiratory pressure/tidal ventilation titration in acute lung injury/acute respiratory distress syndrome: translating experimental results to clinical practice

Carmen Sílvia Valente Barbas et al. Crit Care. .

Abstract

Recruitment maneuvers and positive end-expiratory pressure (PEEP)/tidal ventilation titration in acute lung injury/acute respiratory distress syndrome (ALI/ARDS) are the cornerstone of mechanical ventilatory support. The net result of these possible adjustments in ventilatory parameters is the interaction of the pressure applied in the respiratory system (airway pressure/end expiratory pressure) counterbalanced by chest wall configuration/abdominal pressure along the mechanical ventilatory support duration. Refinements in the ventilatory adjustments in ALI/ARDS are necessary for minimizing the biotrauma in this still life-threatening clinical problem.

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Figures

Figure 1
Figure 1
Thoracic tomography of two different models of acute lung injury/acute respiratory distress syndrome (ARDS). (a) Computed tomography (CT) scan of pigs after saline lung lavage before and after recruitment maneuvers with 45 cmH2O of pressure, maintaining a positive end-expiratory pressure (PEEP) of 10 cmH2O, showing some redistribution of ventilation [1]. (b) CT scan of acute respiratory distress syndrome patients before and after a recruitment maneuver with 60 cmH2O maximal inspiratory pressure maintaining PEEP values of 20 and 25 cmH2O.
See this image and copyright information in PMC

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