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Recruitment maneuvers and positive end-expiratory pressure/tidal ventilation titration in acute lung injury/acute respiratory distress syndrome: translating experimental results to clinical practice.
Pulmonary Division, University of São Paulo, Brazil. cbarbas@attglobal.net
Recruitment maneuvers and positive end-expiratory pressure (PEEP)/tidal ventilation titration in acute lung injury/acute respiratory distress syndrome (ALI/ARDS) are the cornerstone of mechanical ventilatory support. The net result of these possible adjustments in ventilatory parameters is the interaction of the pressure applied in the respiratory system (airway pressure/end expiratory pressure) counterbalanced by chest wall configuration/abdominal pressure along the mechanical ventilatory support duration. Refinements in the ventilatory adjustments in ALI/ARDS are necessary for minimizing the biotrauma in this still life-threatening clinical problem.
PMID: 16277726 [PubMed - indexed for MEDLINE]
PMCID: PMC1297626
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Cited by 2 PubMed Central articles
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Respiratory effects of different recruitment maneuvers in acute respiratory distress syndrome.
Constantin JM, Jaber S, Futier E, Cayot-Constantin S, Verny-Pic M, Jung B, Bailly A, Guerin R, Bazin JE.
Crit Care. 2008; 12(2):R50. Epub 2008 Apr 16.
[Crit Care. 2008]
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ReviewPositive end-expiratory pressure in acute respiratory distress syndrome: should the 'open lung strategy' be replaced by a 'protective lung strategy'?
Rouby JJ, Ferrari F, Bouhemad B, Lu Q.
Crit Care. 2007; 11(6):180.
[Crit Care. 2007]