How best to recruit the injured lung?
- PMID: 18598382
- PMCID: PMC2481463
- DOI: 10.1186/cc6910
How best to recruit the injured lung?
Abstract
Sustained re-opening of collapsed lung tissue (recruitment) requires the application of airway pressures that exceed those of the tidal cycle. The post-maneuver PEEP as well as the duration of high pressure application are also key factors in its success, with their accompanying potential for hemodynamic compromise. Although a wide variety of recruiting maneuvers have been described, the technique that strikes the best balance between efficacy and risk may well vary among patients with differing right heart loading status and lung properties.
Comment on
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Respiratory effects of different recruitment maneuvers in acute respiratory distress syndrome.Crit Care. 2008;12(2):R50. doi: 10.1186/cc6869. Epub 2008 Apr 16. Crit Care. 2008. PMID: 18416847 Free PMC article. Clinical Trial.
References
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- Rimensberger PC, Pache JC, McKerlie C, Frndova H, Cox PN. Lung recruitment and lung volume maintenance: a strategy for improving oxygenation and preventing lung injury during both conventional mechanical ventilation and high-frequency oscillation. Intensive Care Med. 2000;26:745–755. doi: 10.1007/s001340051242. - DOI - PubMed
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