Indian Journal of Critical Care Medicine
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 REVIEW ARTICLE
Year : 2009  |  Volume : 13  |  Issue : 1  |  Page : 1--6

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


1 Jose Chacko, Multidisciplinary Intensive Care Unit, Manipal Hospital, Bangalore, India
2 Respiratory Therapist, Manipal Hospital, Bangalore, India

Correspondence Address:
Jose Chacko
Multidisciplinary Intensive Care Unit, Manipal Hospital, Bangalore
India
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DOI: 10.4103/0972-5229.53107

PMID: 19881171

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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.






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