| Lung recruitment: the role of recruitment maneuvers. | |
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MedLine Citation:
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PMID: 11874609 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Dean R Hess; Luca M Bigatello |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Respiratory care Volume: 47 ISSN: 0020-1324 ISO Abbreviation: Respir Care Publication Date: 2002 Mar |
Date Detail:
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Created Date: 2002-03-04 Completed Date: 2002-04-19 Revised Date: 2008-11-21 |
Medline Journal Info:
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Nlm Unique ID: 7510357 Medline TA: Respir Care Country: United States |
Other Details:
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Languages: eng Pagination: 308-17; discussion 317-8 Citation Subset: IM |
Affiliation:
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Department of Respiratory Care Services, Massachusetts General Hospital, and Harvard Medical School, Boston, Massachusetts 02114, USA. dhess@partners.org |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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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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