ARDS的循证医学模板.ppt

肺复张后PEEP25cmH2O,气体在肺内的分布（4个区） Strategies of optimized alveolar recruitment Rimensberger. Demonstrated the benefit on oxygenation of a single RM (30cm CPAP for 30 sec) in lavage-injured rabbits Marked increases in PaO2 were observed in the RM Crit Care Med 1999, 27:1946-1952 Strategies of optimized alveolar recruitment Strategies of optimized alveolar recruitment Lapinsky demonstrated varied the RM pressure applied between 30 to 45cm H2O based on the peak pressure obtained while ventilating at a Vt of 12 ml/kg In most patients, the benefit of the RM was s