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Lung recruitment

Respir Care Clin N Am. 2000 Dec;6(4):597-623. doi: 10.1016/s1078-5337(05)70090-3.

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.

Publication types

  • Review

MeSH terms

  • Critical Care / methods
  • Functional Residual Capacity
  • Humans
  • Inflammation
  • Monitoring, Physiologic / methods
  • Positive-Pressure Respiration / adverse effects
  • Positive-Pressure Respiration / instrumentation
  • Positive-Pressure Respiration / methods*
  • Predictive Value of Tests
  • Prone Position
  • Respiratory Distress Syndrome / diagnostic imaging
  • Respiratory Distress Syndrome / immunology
  • Respiratory Distress Syndrome / metabolism
  • Respiratory Distress Syndrome / physiopathology*
  • Respiratory Distress Syndrome / therapy*
  • Risk Factors
  • Time Factors
  • Tomography, X-Ray Computed
  • Treatment Outcome