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1: Crit Care. 2008;12(3):159. Epub 2008 Jun 20.Click here to read Click here to read Links
Comment on:
Crit Care. 2008;12(2):R50.

How best to recruit the injured lung?

Marini JJ.

Pulmonary and Critical Care Medicine, Regions Hospital, University of Minnesota, Minneapolis/St Paul, MN 55101, USA. marin002@umn.edu

Sustained re-opening of collapsed lung tissue (recruitment) requires the application of airway pressures that exceed those of the tidal cycle. The post-maneuver PEEP as well as the duration of high pressure application are also key factors in its success, with their accompanying potential for hemodynamic compromise. Although a wide variety of recruiting maneuvers have been described, the technique that strikes the best balance between efficacy and risk may well vary among patients with differing right heart loading status and lung properties.

PMID: 18598382 [PubMed - indexed for MEDLINE]

PMCID: PMC2481463

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