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Báo cáo y học: "Respiratory effects of different recruitment maneuvers in acute respiratory distress syndrome"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Respiratory effects of different recruitment maneuvers in acute respiratory distress syndrome. | Available online http ccforum.eom content 1 2 2 R50 Open Access Research Respiratory effects of different recruitment maneuvers in acute respiratory distress syndrome Jean-Michel Constantin1 Samir Jaber2 Emmanuel Futier1 Sophie Cayot-Constantin1 Myriam Verny-Pic1 Boris Jung2 Anne Bailly3 Renaud Guerin1 and Jean-Etienne Bazin1 General Intensive Care Unit Hotel-Dieu Hospital University Hospital of Clermont-Ferrand Boulevard L. Malfreyt 63058 Clermond-Ferrand France 2SAR B Saint-Eloi Hospital University Hospital of Montpellier Avenue Augustin Fliche 34000 Montpellier France 3Department of Medical Imaging Hotel-Dieu Hospital University Hospital of Clermont-Ferrand Boulevard L. Malfreyt 63058 Clermond-Ferrand France Corresponding author Jean-Michel Constantin jmconstantin@chu-clermontferrand.fr Received 8 Feb 2008 Revisions requested 13 Mar 2008 Revisions received 31 Mar 2008 Accepted 16 Apr 2008 Published 16 Apr 2008 Critical Care 2008 12 R50 doi 10.1186 cc6869 This article is online at http ccforum.com content 12 2 R50 2008 Constantin et al. licensee BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction 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. Methods 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 .