Document Detail


Lung recruitment: the role of recruitment maneuvers.
MedLine Citation:
PMID:  11874609     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
There is increasing appreciation that lung-protective strategies are beneficial in patients with acute respiratory distress syndrome. Using low tidal volume in these patients improves survival. However, low tidal volume ventilation may promote alveolar de-recruitment. This has led some to advocate the use of "open lung" strategies that stress the use of high positive end-expiratory pressure levels and recruitment maneuvers. A recruitment maneuver is a sustained increase in airway pressure with the goal to open collapsed lung tissue. A variety of approaches have been used as recruitment maneuvers, including increasing the level of positive end-expiratory pressure, sustained inflation maneuvers, sigh breaths, spontaneous breathing, and others. There have been a number of recent reports describing improvements in arterial oxygenation with the use of recruitment maneuvers. However, the impact of recruitment maneuvers on patient-important outcomes such as survival is unknown.
Authors:
Dean R Hess; Luca M Bigatello
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Respiratory care     Volume:  47     ISSN:  0020-1324     ISO Abbreviation:  Respir Care     Publication Date:  2002 Mar 
Date Detail:
Created Date:  2002-03-04     Completed Date:  2002-04-19     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  7510357     Medline TA:  Respir Care     Country:  United States    
Other Details:
Languages:  eng     Pagination:  308-17; discussion 317-8     Citation Subset:  IM    
Affiliation:
Department of Respiratory Care Services, Massachusetts General Hospital, and Harvard Medical School, Boston, Massachusetts 02114, USA. dhess@partners.org
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MeSH Terms
Descriptor/Qualifier:
Anesthesia, General
Animals
High-Frequency Ventilation
Humans
Positive-Pressure Respiration
Pulmonary Alveoli / physiopathology
Pulmonary Atelectasis / physiopathology
Respiration, Artificial*
Respiratory Distress Syndrome, Adult / physiopathology,  therapy
Respiratory Insufficiency / physiopathology*,  therapy*
Tidal Volume

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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