Indian J Crit Care Med. 2009 Jan-Mar;13(1):1-6.

Alveolar recruitment maneuvers in acute lung injury/acute respiratory distress syndrome.

Source

Multidisciplinary Intensive Care Unit, Manipal Hospital, Bangalore, India. chackojose@gmail.com

Abstract

Mechanical ventilation can worsen lung damage in acute lung injury and acute respiratory distress syndrome. The use of low tidal volumes is one of the strategies that has been shown to reduce lung injury and improve outcomes in this situation. However, low tidal volumes may lead to alveolar derecruitment and worsening of hypoxia. Recruitment maneuvers along with positive end-expiratory pressure may help to prevent derecruitment. Although recruitment maneuvers have been shown to improve oxygenation, improved clinical outcomes have not been demonstrated. The optimal recruitment strategy and the type of patients who might benefit are also unclear. This review summarizes the impact of recruitment maneuvers on lung mechanics and physiology, techniques of application, and the clinical situations in which they may be useful.

PMID:: 19881171; [PubMed]
PMCID: PMC2772255

Free PMC Article

LinkOut - more resources

Full Text Sources

Libraries

LinkOut Holdings

Supplemental Content

Related citations

Ventilation strategy using low tidal volumes, recruitment maneuvers, and high positive end-expiratory pressure for acute lung injury and acute respiratory distress syndrome: a randomized controlled trial. [JAMA. 2008]
Ventilation strategy using low tidal volumes, recruitment maneuvers, and high positive end-expiratory pressure for acute lung injury and acute respiratory distress syndrome: a randomized controlled trial.
Meade MO, Cook DJ, Guyatt GH, Slutsky AS, Arabi YM, Cooper DJ, Davies AR, Hand LE, Zhou Q, Thabane L, et al. JAMA. 2008 Feb 13; 299(6):637-45.
Comparison of optimal positive end-expiratory pressure and recruitment maneuvers during lung-protective mechanical ventilation in patients with acute lung injury/acute respiratory distress syndrome. [Respir Care. 2009]
Comparison of optimal positive end-expiratory pressure and recruitment maneuvers during lung-protective mechanical ventilation in patients with acute lung injury/acute respiratory distress syndrome.
Badet M, Bayle F, Richard JC, Guérin C. Respir Care. 2009 Jul; 54(7):847-54.
Review Lung recruitment maneuvers in acute respiratory distress syndrome and facilitating resolution. [Crit Care Med. 2003]
Review Lung recruitment maneuvers in acute respiratory distress syndrome and facilitating resolution.
Valente Barbas CS. Crit Care Med. 2003 Apr; 31(4 Suppl):S265-71.
Review Where are we with recruitment maneuvers in patients with acute lung injury and acute respiratory distress syndrome? [Curr Opin Crit Care. 2003]
Review Where are we with recruitment maneuvers in patients with acute lung injury and acute respiratory distress syndrome?
Richard JC, Maggiore S, Mercat A. Curr Opin Crit Care. 2003 Feb; 9(1):22-7.
Review Clinical review: the implications of experimental and clinical studies of recruitment maneuvers in acute lung injury. [Crit Care. 2004]
Review Clinical review: the implications of experimental and clinical studies of recruitment maneuvers in acute lung injury.
Piacentini E, Villagrá A, López-Aguilar J, Blanch L. Crit Care. 2004 Apr; 8(2):115-21. Epub 2003 Sep 5.

See reviews... See all...

Related information

Related Citations
Calculated set of PubMed citations closely related to the selected article(s) retrieved using a word weight algorithm. Related articles are displayed in ranked order from most to least relevant, with the “linked from” citation displayed first.
References for this PMC Article
Citation referenced in PubMed article. Only valid for PubMed citations that are also in PMC.
Free in PMC
Free full text articles in PMC

Recent activity

Clear Turn Off Turn On

Alveolar recruitment maneuvers in acute lung injury/acute respiratory distress s...
Alveolar recruitment maneuvers in acute lung injury/acute respiratory distress syndrome.
Indian J Crit Care Med. 2009 Jan-Mar ;13(1):1-6.

PubMed
Dissociable effects of noradrenaline, dopamine, and serotonin uptake blockade on...
Dissociable effects of noradrenaline, dopamine, and serotonin uptake blockade on stop task performance in rats.
Psychopharmacology (Berl). 2009 Aug ;205(2):273-83. Epub 2009 Apr 30 .

PubMed
Overview of the human pharmacokinetics of recombinant activated factor VII.
Overview of the human pharmacokinetics of recombinant activated factor VII.
Br J Clin Pharmacol. 2008 Jan ;65(1):3-11. Epub 2007 Oct 24 .

PubMed
Combination of quantitative capnometry, N-terminal pro-brain natriuretic peptide...
Combination of quantitative capnometry, N-terminal pro-brain natriuretic peptide, and clinical assessment in differentiating acute heart failure from pulmonary disease as cause of acute dyspnea in pre-hospital emergency setting: study of diagnostic accuracy.
Croat Med J. 2009 Apr ;50(2):133-42.

PubMed
Composite Module Analyst: identification of transcription factor binding site co...
Composite Module Analyst: identification of transcription factor binding site combinations using genetic algorithm.
Nucleic Acids Res. 2006 Jul 1 ;34(Web Server issue):W541-5.

PubMed

Your browsing activity is empty.

Activity recording is turned off.

Turn recording back on

PubMed

Display Settings:

Send to:

Alveolar recruitment maneuvers in acute lung injury/acute respiratory distress syndrome.

Source

Abstract

LinkOut - more resources

Full Text Sources

Libraries

Supplemental Content

Related citations

Related information

Recent activity

Simple NCBI Directory

Getting Started

Resources

Popular

Featured

NCBI Information