• Manuel Lomeli, Luis Dominguez Cenzano, Lizzeth Torres, Uriel Chavarría, Manuel Poblano, Francisco Tendillo, Lluis Blanch, and Jordi Mancebo.
• Universidad Autónoma de Querétaro, Hospital H+ Querétaro, Grupo Ventilación Mecánica México, Colegio Mexicano de Medicina Crítica.
• Med Intensiva. 2021 Oct 1; 45 (7): 431-436.

AbstractAlveolar recruitment in acute respiratory distress syndrome (ARDS) is defined as the penetration of gas into previously unventilated areas or poorly ventilated areas. Alveolar recruitment during recruitment maneuvering (RM) depends on the duration of the maneuver, the recruitable lung tissue, and the balance between the recruitment of collapsed areas and over-insufflation of the ventilated areas. Alveolar recruitment is estimated using computed tomography of the lung and, at the patient bedside, through assessment of the recruited volume using pressure-volume curves and assessing lung morphology with pulmonary ultrasound and/or impedance tomography. The scientific evidence on RM in patients with ARDS remains subject to controversy. Randomized studies on ARDS have shown no benefit or have even reflected an increase in mortality. The routine use of RM is therefore not recommended.Copyright © 2020 Elsevier España, S.L.U. y SEMICYUC. All rights reserved.

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