title: Impact of the e- sigh recruitment manoeuvre on oxygenation and aeration of the lung in patients with ALI/ARDS.
abstract: Recruitment manoeuvre (RM) can be defined as a strategy to increase transient transpulmonary pressure. This study was aimed to evaluate the efficacy of e-sigh recruitment manoeuvre on patients with acute respiratory distress syndrome (ARDS). Thirty patients who fulfilled ARDS criteria were included in this study. They received extended sigh recruitment manoeuvre (e- sigh) consisting of positive end expiratory pressure maintained at 10 cm H₂O above the lower inflection point of the pressure--volume curve for 15 minutes. We assessed the effects of these manoeuvres on: gas exchange and haemodynamic and respiratory mechanics at two time points. The patients had had a chest x-ray and thoracic computed tomography scan of the lungs after a day of the last recruitment manoeuvre, before inclusion was studied. E-sigh recruitment manoeuvre had a good impact on gas exchange and aeration of the lung and collapsed alveoli were reopened, which was objectively evaluated on x-ray and a CT scan of the lung.
authors: University Clinic for Surgical Diseases of "St. Naum Ohridski", Skopje, R. Macedonia.
authors: T
authors: T
authors: Trojik
authors: M
authors: M
authors: Shosholcheva
authors: J
authors: J
authors: Radulovska Chabukovska
authors: M
authors: M
authors: Lovach Chapujnoska
mesh_terms: D055371:Acute Lung Injury / Q000000981:diagnostic imaging / Q000503:physiopathology*; D001784:Blood Gas Analysis; D005260:Female; D006439:Hemodynamics; D006801:Humans; D008297:Male; D008875:Middle Aged; D012121:Respiration, Artificial; D012128:Respiratory Distress Syndrome / Q000000981:diagnostic imaging / Q000503:physiopathology*; D015656:Respiratory Mechanics / Q000502:physiology*; D014057:Tomography, X-Ray Computed