[Recruiting maneuvers in ALI/ARDS].
Mechanical ventilation, a life saving procedure in ARDS aims to optimally ventilate the patient and to avoid at the same time the ventilator induced lung injury (VILI). In ARDS the lung contains a variable portion of collapsed alveoli witch impair the normal oxygenation. While the positive end-expiratory pressure (PEEP) can prevent further alveolar collapse the recruiting maneuvers are able to open the already collapsed ones. Multiple recruiting maneuvers are reported in the literature but there is no consensus regarding the optimal one(s), as each maneuver is only partially efficient and has several down falls. While in animal studies theses maneuvers have proved their efficiency and safety, there are not enough humans studies to guide the decision on how, when and which technique should be used.
Grigoriu
R G
RG
Departamentul ATI, Spitalul Clinic Universitar "Sf. Spiridon", Iaşi.
Paiu
C
C
Grigoriu
Ioana Mihaela
IM
D006801:Humans; D012121:Respiration, Artificial; D012128:Respiratory Distress Syndrome / Q000628:therapy*; D012129:Respiratory Function Tests; D013990:Tidal Volume; D016896:Treatment Outcome