Abstract
It has become increasingly clear that a lung protective ventilatory strategy during adult respiratory distress syndrome/acute lung injury has a positive effect on outcome. Lung recruitment is a major component of this strategy. High-pressure recruitment maneuvers and prone positioning can open the lung; however, once the lung is opened, it must be kept open with appropriate levels of positive end-expiratory pressure. For both of these techniques to be effective, they must be used early in the course of adult respiratory distress syndrome/acute lung injury.
MeSH terms
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Critical Care / methods
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Functional Residual Capacity
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Humans
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Inflammation
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Monitoring, Physiologic / methods
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Positive-Pressure Respiration / adverse effects
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Positive-Pressure Respiration / instrumentation
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Positive-Pressure Respiration / methods*
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Predictive Value of Tests
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Prone Position
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Respiratory Distress Syndrome / diagnostic imaging
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Respiratory Distress Syndrome / immunology
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Respiratory Distress Syndrome / metabolism
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Respiratory Distress Syndrome / physiopathology*
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Respiratory Distress Syndrome / therapy*
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Risk Factors
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Time Factors
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Tomography, X-Ray Computed
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Treatment Outcome