Recruitment maneuvers in acute respiratory distress syndrome
نویسندگان
چکیده
منابع مشابه
Recruitment Maneuvers in Acute Respiratory Distress Syndrome: Do They Harm?
Acute respiratory distress syndrome (ARDS) represents a serious problem in critically ill patients and is associated with an inhospital mortality between 33 to 52%. It is characterized by severe impairment of oxygenation caused by an inhomogeneous ventilation-perfusion distribution and an increase in shunt fraction [1]. The amount of aerated lung volume is markedly reduced due to alveolar colla...
متن کامل[Alveolar recruitment maneuvers in respiratory distress syndrome].
In patients with acute respiratory distress syndrome, heterogeneity in filling of the lung parenchyma results in collapsed or distended lung areas. Protective ventilation strategies based on the use of low volumes have been shown to increase survival in this context. For opening the lung, and in addition to PEEP, recruitment maneuvers are used-this practice remaining the subject of debate. The ...
متن کاملRespiratory effects of different recruitment maneuvers in acute respiratory distress syndrome
INTRODUCTION Alveolar derecruitment may occur during low tidal volume ventilation and may be prevented by recruitment maneuvers (RMs). The aim of this study was to compare two RMs in acute respiratory distress syndrome (ARDS) patients. METHODS Nineteen patients with ARDS and protective ventilation were included in a randomized crossover study. Both RMs were applied in each patient, beginning ...
متن کاملEvaluation of lung recruitment maneuvers in acute respiratory distress syndrome using computer simulation
INTRODUCTION Direct comparison of the relative efficacy of different recruitment maneuvers (RMs) for patients with acute respiratory distress syndrome (ARDS) via clinical trials is difficult, due to the heterogeneity of patient populations and disease states, as well as a variety of practical issues. There is also significant uncertainty regarding the minimum values of positive end-expiratory p...
متن کاملRecruitment maneuvers for acute respiratory distress syndrome: the panorama in 2016
A recruitment maneuver (RM) uses a dynamic and transient increase in the transpulmonary pressure (the difference between the airway and pleural pressures) to open non-aerated or poorly aerated lung areas.(1) RMs can improve lung mechanics and oxygenation(2,3) but may also temporarily exacerbate epithelial and endothelial cell damage, increasing alveolar-capillary permeability.(4) The use of RMs...
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ژورنال
عنوان ژورنال: Annals of Translational Medicine
سال: 2017
ISSN: 2305-5839,2305-5847
DOI: 10.21037/atm.2017.07.09