title: Haemodynamic Effects of Lung Recruitment Manoeuvres.
abstract: Atelectasis caused by lung injury leads to increased intrapulmonary shunt, venous admixture, and hypoxaemia. Lung recruitment manoeuvres aim to quickly reverse this scenario by applying increased airway pressures for a short period of time which meant to open the collapsed alveoli. Although the procedure can improve oxygenation, but due to the heart-lung and right and left ventricle interactions elevated intrathoracic pressures can inflict serious effects on the cardiovascular system. The purpose of this paper is to give an overview on the pathophysiological background of the heart-lung interactions and the best way to monitor these changes during lung recruitment.
authors.affiliation: Department of Anaesthesiology and Intensive Therapy, University of Szeged, Semmelweis Utca 6, Szeged 6725, Hungary.
authors.forename: András
authors.identifier: 0000-0002-8320-1515
authors.initials: A
authors.lastname: Lovas
authors.affiliation: Department of Anaesthesia, Intensive Care and Pain Medicine, Cardiff University, Institute of Infection and Immunology, Heath Park Campus, Cardiff CF14 4XN, UK ; Aneurin Bevan University Health Board, Critical Care Directorate, Royal Gwent Hospital, Cardiff Road, Newport NP20 5UB, UK.
authors.forename: Tamás
authors.initials: T
authors.lastname: Szakmány
mesh_terms: D000818:Animals; D006321:Heart / Q000503:physiopathology; D006439:Hemodynamics / Q000502:physiology*; D006801:Humans; D011175:Positive-Pressure Respiration / Q000379:methods; D011650:Pulmonary Alveoli / Q000503:physiopathology*; D001261:Pulmonary Atelectasis / Q000503:physiopathology*; D012119:Respiration