Indian Journal of Critical Care Medicine
Medknow Publications on behalf of the Indian Society of Critical Care Medicine
Vol. 13, No. 1, 2009, pp. 1-6
Bioline Code: cm09001
Full paper language: English
Document type: Review Article
Document available free of charge
Indian Journal of Critical Care Medicine, Vol. 13, No. 1, 2009, pp. 1-6
© Copyright 2009 Indian Journal of Critical Care Medicine.
Alveolar recruitment maneuvers in acute lung injury/acute respiratory distress syndrome|
Chacko, Jose & Rani, Usha
Mechanical ventilation can worsen lung damage in acute lung injury and acute respiratory distress syndrome. The use of low tidal volumes is one of the strategies that has been shown to reduce lung injury and improve outcomes in this situation. However, low tidal volumes may lead to alveolar derecruitment and worsening of hypoxia. Recruitment maneuvers along with positive end-expiratory pressure may help to prevent derecruitment. Although recruitment maneuvers have been shown to improve oxygenation, improved clinical outcomes have not been demonstrated. The optimal recruitment strategy and the type of patients who might benefit are also unclear. This review summarizes the impact of recruitment maneuvers on lung mechanics and physiology, techniques of application, and the clinical situations in which they may be useful.
Acute lung injury, acute respiratory distress syndrome, recruitment maneuvers
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