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VOLUME 13 , ISSUE 1 ( March, 2009 ) > List of Articles

REVIEW ARTICLE

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

Usha Rani, Jose Chacko

Keywords : Acute lung injury, acute respiratory distress syndrome, recruitment maneuvers

Citation Information : Rani U, Chacko J. Alveolar recruitment maneuvers in acute lung injury/acute respiratory distress syndrome. Indian J Crit Care Med 2009; 13 (1):1-6.

DOI: 10.4103/0972-5229.53107

License: CC BY-ND 3.0

Published Online: 00-03-2009

Copyright Statement:  Copyright © 2009; Jaypee Brothers Medical Publishers (P) Ltd.


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.


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