Respiratory effects of different recruitment maneuvers in acute respiratory distress syndrome.

Critical Care : the Official Journal of the Critical Care Forum
Jean-Michel ConstantinJean-Etienne Bazin

Abstract

Alveolar derecruitment may occur during low tidal volume ventilation and may be prevented by recruitment maneuvers (RMs). The aim of this study was to compare two RMs in acute respiratory distress syndrome (ARDS) patients. Nineteen patients with ARDS and protective ventilation were included in a randomized crossover study. Both RMs were applied in each patient, beginning with either continuous positive airway pressure (CPAP) with 40 cm H2O for 40 seconds or extended sigh (eSigh) consisting of a positive end-expiratory pressure maintained at 10 cm H2O above the lower inflection point of the pressure-volume curve for 15 minutes. Recruited volume, arterial partial pressure of oxygen/fraction of inspired oxygen (PaO2/FiO2), and hemodynamic parameters were recorded before (baseline) and 5 and 60 minutes after RM. All patients had a lung computed tomography (CT) scan before study inclusion. Before RM, PaO2/FiO2 was 151 +/- 61 mm Hg. Both RMs increased oxygenation, but the increase in PaO2/FiO2 was significantly higher with eSigh than CPAP at 5 minutes (73% +/- 25% versus 44% +/- 28%; P < 0.001) and 60 minutes (68% +/- 23% versus 35% +/- 22%; P < 0.001). Only eSigh significantly increased recruited volume at 5 and 60 minutes (21% +/- ...Continue Reading

References

Jan 1, 1992·Intensive Care Medicine·B Lachmann
Mar 1, 1994·American Journal of Respiratory and Critical Care Medicine·G R BernardR Spragg
Jan 28, 1998·American Journal of Respiratory and Critical Care Medicine·D Dreyfuss, G Saumon
Feb 5, 1998·The New England Journal of Medicine·M B AmatoC R Carvalho
Apr 16, 1998·Intensive Care Medicine·D Dreyfuss, G Saumon
Jul 9, 1998·American Journal of Respiratory and Critical Care Medicine·K G Hickling
Oct 3, 1998·Intensive Care Medicine·J J Marini, T W Evans
Nov 17, 1998·American Journal of Respiratory and Critical Care Medicine·P NeumannG Hedenstierna
Jan 5, 1999·American Journal of Respiratory and Critical Care Medicine·Q LuJ J Rouby
Mar 2, 1999·American Journal of Respiratory and Critical Care Medicine·P PelosiL Gattinoni
May 24, 2001·American Journal of Respiratory and Critical Care Medicine·L M MalbouissonUNKNOWN CT Scan ARDS Study Group
Jun 13, 2001·American Journal of Respiratory and Critical Care Medicine·J C RichardL Brochard
Jan 16, 2002·American Journal of Respiratory and Critical Care Medicine·Ana VillagráLluis Blanch
Nov 16, 2002·Journal of Applied Physiology·Anastacia M BilekDonald P Gaver
Apr 12, 2003·Critical Care Medicine·Roy G Brower, Gordon D Rubenfeld
Nov 8, 2003·Critical Care Medicine·Roy G BrowerUNKNOWN ARDS Clinical Trials Network, National Heart, Lung, and Blood Institute, National Institutes of Health
Feb 8, 2005·Critical Care : the Official Journal of the Critical Care Forum·Stephen E Lapinsky, Sangeeta Mehta
Jul 16, 2005·American Journal of Respiratory and Critical Care Medicine·Gordon R Bernard
Nov 10, 2005·Critical Care : the Official Journal of the Critical Care Forum·Jean-Jacques Rouby, Qin Lu
Apr 28, 2006·The New England Journal of Medicine·Luciano GattinoniGuillermo Bugedo
May 13, 2006·American Journal of Respiratory and Critical Care Medicine·João B BorgesMarcelo B P Amato
Jun 24, 2006·Critical Care : the Official Journal of the Critical Care Forum·Qin LuJean-Jacques Rouby
Oct 14, 2006·American Journal of Respiratory and Critical Care Medicine·Pier Paolo TerragniV Marco Ranieri
Jul 17, 2007·Critical Care : the Official Journal of the Critical Care Forum·Esther K WolthuisMarcus J Schultz
Jan 22, 2008·Critical Care : the Official Journal of the Critical Care Forum·Jacob Koefoed-NielsenAnders Larsson

❮ Previous
Next ❯

Citations

Aug 23, 2011·Intensive Care Medicine·Jean-Michel ArnalJacques Durand-Gasselin
Sep 13, 2011·Annals of Intensive Care·Claude GuerinJean-Christophe Richard
May 18, 2011·Critical Care : the Official Journal of the Critical Care Forum·Gilles RivalGilles Capellier
Nov 19, 2013·Critical Care : the Official Journal of the Critical Care Forum·Davide ChiumelloSilvia Coppola
Jul 5, 2008·Critical Care : the Official Journal of the Critical Care Forum·John J Marini
Oct 30, 2009·Critical Care : the Official Journal of the Critical Care Forum·Haibo Zhang, Arthur S Slutsky
Apr 30, 2010·Critical Care : the Official Journal of the Critical Care Forum·Jean-Michel ConstantinJean-Etienne Bazin
Nov 3, 2009·Indian Journal of Critical Care Medicine : Peer-reviewed, Official Publication of Indian Society of Critical Care Medicine·Jose Chacko, Usha Rani
Jan 22, 2011·Indian Journal of Critical Care Medicine : Peer-reviewed, Official Publication of Indian Society of Critical Care Medicine·S VeenaV J Ramesh
Jan 17, 2013·Acta Informatica Medica : AIM : Journal of the Society for Medical Informatics of Bosnia & Herzegovina : časopis Društva Za Medicinsku Informatiku BiH·Tatjana TrojikMargita Lovach-Chepujnoska
Sep 24, 2010·Experimental Lung Research·Chang ShiKlaus Markstaller
Mar 17, 2016·Disease Markers·Raiko BlondonnetMatthieu Jabaudon
Mar 27, 2013·Medicina intensiva·Á AlgabaUNKNOWN por el GT-IRA de la SEMICYUC
Aug 29, 2009·Respiratory Physiology & Neurobiology·D R RivaW A Zin
Jun 16, 2016·The Lancet. Respiratory Medicine·Jean Louis PépinSamir Jaber
Jan 24, 2019·Annals of Intensive Care·D ChiumelloS Coppola
Apr 18, 2019·Journal of Thoracic Imaging·Junaid RajaSyed A Jamal Bokhari
Mar 23, 2017·Critical Care : the Official Journal of the Critical Care Forum·Audrey De JongSamir Jaber
Jun 30, 2019·The European Respiratory Journal·Davide ChiumelloPaolo Navalesi
Mar 30, 2018·Dimensions of Critical Care Nursing : DCCN·Angela Nguyen
Sep 16, 2019·Revue des maladies respiratoires·A De JongS Jaber
Nov 3, 2009·Indian Journal of Critical Care Medicine : Peer-reviewed, Official Publication of Indian Society of Critical Care Medicine·Suman SarkarKruti Sundar Mandal
Jul 10, 2021·Medicina Intensiva·M LomeliJ Mancebo
May 4, 2020·Medicina intensiva·Manuel LomeliJordi Mancebo

❮ Previous
Next ❯

Software Mentioned

Statview
eSigh
AcqKnowledge

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.