Alveolar recruitment maneuvers in acute lung injury/acute respiratory distress syndrome. Export

@article{citeulike:6071701, abstract = {Mechanical ventilation can worsen lung damage in acute lung injury and acute respiratory distress syndrome. The use of low tidal volumes is one of the strategies that has been shown to reduce lung injury and improve outcomes in this situation. However, low tidal volumes may lead to alveolar derecruitment and worsening of hypoxia. Recruitment maneuvers along with positive end-expiratory pressure may help to prevent derecruitment. Although recruitment maneuvers have been shown to improve oxygenation, improved clinical outcomes have not been demonstrated. The optimal recruitment strategy and the type of patients who might benefit are also unclear. This review summarizes the impact of recruitment maneuvers on lung mechanics and physiology, techniques of application, and the clinical situations in which they may be useful.}, author = {Chacko, Jose and Rani, Usha}, citeulike-article-id = {6071701}, citeulike-linkout-0 = {http://dx.doi.org/10.4103/0972-5229.53107}, citeulike-linkout-1 = {http://view.ncbi.nlm.nih.gov/pubmed/19881171}, citeulike-linkout-2 = {http://www.hubmed.org/display.cgi?uids=19881171}, doi = {10.4103/0972-5229.53107}, issn = {1998-359X}, journal = {Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine}, keywords = {acute, alveolar, distress, in, injury-acute, lung, maneuvers, recruitment, respiratory, syndrome}, number = {1}, pages = {1--6}, posted-at = {2009-11-04 22:33:28}, priority = {2}, title = {Alveolar recruitment maneuvers in acute lung injury/acute respiratory distress syndrome.}, url = {http://dx.doi.org/10.4103/0972-5229.53107}, volume = {13}, year = {2009} }

TY - JOUR ID - citeulike:6071701 L3 - citeulike-article-id:6071701 N2 - Mechanical ventilation can worsen lung damage in acute lung injury and acute respiratory distress syndrome. The use of low tidal volumes is one of the strategies that has been shown to reduce lung injury and improve outcomes in this situation. However, low tidal volumes may lead to alveolar derecruitment and worsening of hypoxia. Recruitment maneuvers along with positive end-expiratory pressure may help to prevent derecruitment. Although recruitment maneuvers have been shown to improve oxygenation, improved clinical outcomes have not been demonstrated. The optimal recruitment strategy and the type of patients who might benefit are also unclear. This review summarizes the impact of recruitment maneuvers on lung mechanics and physiology, techniques of application, and the clinical situations in which they may be useful. IS - 1 JF - Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine SN - 1998-359X EP - 6 TI - Alveolar recruitment maneuvers in acute lung injury/acute respiratory distress syndrome. VL - 13 SP - 1 KW - acute KW - alveolar KW - distress KW - in KW - injury-acute KW - lung KW - maneuvers KW - recruitment KW - respiratory KW - syndrome AU - Chacko, Jose AU - Rani, Usha PY - 2009///r UR - http://dx.doi.org/10.4103/0972-5229.53107 ER -