• Rev Med Chir Soc Med Nat Iasi · Oct 2006

    Review

    [Recruiting maneuvers in ALI/ARDS].

    • R G Grigoriu, C Paiu, and Ioana Mihaela Grigoriu.
    • Departamentul ATI, Spitalul Clinic Universitar "Sf. Spiridon", Iaşi.
    • Rev Med Chir Soc Med Nat Iasi. 2006 Oct 1;110(4):921-8.

    AbstractMechanical ventilation, a life saving procedure in ARDS aims to optimally ventilate the patient and to avoid at the same time the ventilator induced lung injury (VILI). In ARDS the lung contains a variable portion of collapsed alveoli witch impair the normal oxygenation. While the positive end-expiratory pressure (PEEP) can prevent further alveolar collapse the recruiting maneuvers are able to open the already collapsed ones. Multiple recruiting maneuvers are reported in the literature but there is no consensus regarding the optimal one(s), as each maneuver is only partially efficient and has several down falls. While in animal studies theses maneuvers have proved their efficiency and safety, there are not enough humans studies to guide the decision on how, when and which technique should be used.

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