Alveolar recruitment maneuver

A new approach called the alveolar recruitment maneuver (ARM) has been used successfully in patients with extrapuhnonary causes of ARDS but is less successful if the etiology is pulmonary. ... 

Lim C, Jung H, Koh Y, et al. The effect of alveolar recruitment maneuver in early acute respiratory distress syndrome according to anti-derecruitment strategy, etiologic category of diffuse lung injury, and body position of the patient. Crit Care Med 2003 31 411-418. 

Recruitment maneuvers are based on the concept that alveolar recruitment occurs throughout a positive-pressure inflation—all the way to the total lung capacity (TLC) (21). In practice, they are performed using sustained inflations of 30-40 cmH20 for up to two minutes (21,22). An alternative approach is to use frequent sigh breaths that briefly take the lung to near TLC (22,23). The duration of recruitment depends on an appropriate setting of PEEP to prevent subsequent de-recruitment. Recruitment maneuvers may require heavy sedation to perform, and transient hypotension occasionally develops. 

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See also in sourсe #XX -- [ ]

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