[Alveolar recruitment maneuvers in respiratory distress

Medicina intensiva · Jun 2013

[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 present review offers an update on the alveolar recruitment techniques, considering the great variability that exists in the application of these maneuvers, and the different factors that influence the response to maneuvering.

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- Á Algaba, N Nin, and por el GT-IRA de la SEMICYUC.
- Unidad de Cuidados Intensivos, Hospital Universitario de Torrejón, Madrid, España.
- Med Intensiva. 2013 Jun 1;37(5):355-62.
AbstractIn 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 present review offers an update on the alveolar recruitment techniques, considering the great variability that exists in the application of these maneuvers, and the different factors that influence the response to maneuvering.Copyright © 2012 Elsevier España, S.L. y SEMICYUC. All rights reserved.

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[Alveolar recruitment maneuvers in respiratory distress syndrome].

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