Lung recruitment: the role of recruitment maneuvers.

摘要: There is increasing appreciation that lung-protective strategies are beneficial in patients with acute respiratory distress syndrome. Using low tidal volume these improves survival. However, ventilation may promote alveolar de-recruitment. This has led some to advocate the use of "open lung" stress high positive end-expiratory pressure levels and recruitment maneuvers. A maneuver a sustained increase airway goal open collapsed lung tissue. variety approaches have been used as maneuvers, including level pressure, inflation sigh breaths, spontaneous breathing, others. number recent reports describing improvements arterial oxygenation impact maneuvers on patient-important outcomes such survival unknown.