new and conventional strategies for lung recruitment in acute respiratory distress syndrome新的和传统的肺招聘策略在急性呼吸窘迫综合征.pdfVIP

Pelosi et al. Critical Care 2010, 14:210 /content/14/2/210 R E V I E W New and conventional strategies for lung recruitment in acute respiratory distress syndrome 1 2 3 Paolo Pelosi* , Marcelo Gama de Abreu and Patricia RM Rocco This article is one of ten reviews selected from the Yearbook of Intensive Care and Emergency Medicine 2010 (Springer Verlag) and co-published as a series in Critical Care. Other articles in the series can be found online at http://ccforum/series/yearbook. Further information about the Yearbook of Intensive Care and Emergency Medicine is available from /series/2855. Introduction resulting from disconnection and/or airway suctioning Mechanical ventilation is a supportive and life saving procedures [9]. therapy in patients with acute lung injury (ALI)/acute h e success and/or failure of recruitment maneuvers respiratory distress syndrome (ARDS). Despite advances are associated with various factors: 1) Diff erent types of in critical care, mortality remains high [1]. During the lung injury, mainly pulmonary and extra-pulmonary last decade, the fact that mechanical ventilation can origin; 2) diff erences in the severity of lung injury; 3) the produce morphologic and physiologic alterations in the transpulmonary pressures reached during recruitment lungs has been recognized [2]. In this context, the use of maneuvers; 4) the type of recruitment maneuver applied; low tidal volumes (VT) and limited inspiratory plateau 5) the PEEP levels used to stabilize the lungs after the pressure (Pplat) ha