title: Paediatric lung recruitment: a review of the clinical evidence.
abstract: Lung recruitment is used as an adjunct to lung protective ventilation strategies. Lung recruitment is a brief, deliberate elevation of transpulmonary pressures beyond what is achieved during tidal ventilation levels. The aim of lung recruitment is to maximise the number of alveoli participating in gas exchange particularly in distal and dependant regions of the lung. This may improve oxygenation and end expiratory levels. Restoration of end expiratory levels and stabilisation of the alveoli may reduce the incidence of ventilator induced lung injury (VILI). Various methods of lung recruitment have been studied in adult and experimental populations. This review aims to establish the evidence for lung recruitment in the pediatric population.
authors.affiliation: School of Nursing & Midwifery, The University of Queensland, Australia; Paediatric Critical Care Research Group, PICU, Mater Children's Hospital, Brisbane, Australia. Electronic address: jcqjaun@aol.com.
authors.forename: Jacqui
authors.initials: J
authors.lastname: Jauncey-Cooke
authors.affiliation: School of Nursing and Midwifery/Maternity Services, Monash University/Southern Health, Clayton, Victoria and the School of Nursing & Midwifery, The University of Queensland, Australia. Electronic address: eastc@unimelb.edu.au.
authors.forename: Chris E
authors.initials: CE
authors.lastname: East
authors.affiliation: School of Nursing & Midwifery, The University of Queensland, Australia. Electronic address: f.bogossian@uq.edu.au.
authors.forename: Fiona
authors.initials: F
authors.lastname: Bogossian
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D006801:Humans; D007223:Infant; D008168:Lung / Q000503:physiopathology*; D010372:Pediatrics; D012121:Respiration, Artificial / Q000009:adverse effects / Q000379:methods*
keywords: Lung recruitment; Mechanical ventilation; PEEP; Paediatric; Sustained inflation; VILI