Lung recruitment.
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.
Kacmarek
R M
RM
Respiratory Care Services, Massachusetts General Hospital, Boston 02114-2696, USA.
Schwartz
D R
DR
D003422:Critical Care / Q000379:methods; D005652:Functional Residual Capacity; D006801:Humans; D007249:Inflammation; D008991:Monitoring, Physiologic / Q000379:methods; D011175:Positive-Pressure Respiration / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D011237:Predictive Value of Tests; D016684:Prone Position; D012128:Respiratory Distress Syndrome / Q000000981:diagnostic imaging / Q000276:immunology / Q000378:metabolism / Q000503:physiopathology* / Q000628:therapy*; D012307:Risk Factors; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome