Warning: Undefined variable $zfal in C:\Inetpub\vhosts\kidney.de\httpdocs\mlpefetch.php on line 525
Deprecated: str_replace(): Passing null to parameter #3 ($subject) of type array|string is deprecated in C:\Inetpub\vhosts\kidney.de\httpdocs\mlpefetch.php on line 525
Warning: Undefined variable $sterm in C:\Inetpub\vhosts\kidney.de\httpdocs\mlpefetch.php on line 530
free
Warning: Undefined variable $sterm in C:\Inetpub\vhosts\kidney.de\httpdocs\mlpefetch.php on line 531
free free
English Wikipedia
Nephropedia Template TP (
Twit Text
DeepDyve Pubget Overpricing |
lüll Clinical review: bedside assessment of alveolar recruitment Richard JC; Maggiore SM; Mercat ACrit Care 2004[Jun]; 8 (3): 163-9Recruitment is a dynamic physiological process that refers to the reopening of previously gasless lung units. Cumulating evidence has led to a better understanding of the rules that govern both recruitment and derecruitment during mechanical ventilation of patients with acute respiratory distress syndrome. Therefore not only the positive end-expiratory pressure, but also the tidal volume, the inspired oxygen fraction, repeated tracheal suctioning as well as sedation and paralysis may affect recruitment of acute respiratory distress syndrome lungs that are particularly prone to alveolar instability. In the present article, we review the recently reported data concerning the physiological significance of the pressure-volume curve and its use to assess alveolar recruitment. We also describe alternate techniques that have been proposed to assess recruitment at the bedside. Whether recruitment should be optimized remains an ongoing controversy that warrants further clinical investigation.|*Respiration, Artificial[MESH]|*Tidal Volume[MESH]|Humans[MESH]|Lung Compliance[MESH]|Lung Injury[MESH]|Lung Volume Measurements[MESH]|Positive-Pressure Respiration, Intrinsic/*physiopathology[MESH]|Pulmonary Alveoli/*physiopathology[MESH]|Respiratory Distress Syndrome/diagnostic imaging/*physiopathology/therapy[MESH]|Respiratory Mechanics[MESH]|Tomography, X-Ray Computed[MESH] |