Báo cáo y học: "Lung recruitment manoeuvres are effective in regaining lung volume and oxygenation after open endotracheal suctioning 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 y học đề tài: Lung recruitment manoeuvres are effective in regaining lung volume and oxygenation after open endotracheal suctioning in acute respiratory distress syndrome. | Available online http content 7 1 55 Research Open Access Lung recruitment manoeuvres are effective in regaining lung volume and oxygenation after open endotracheal suctioning in acute respiratory distress syndrome Thomas Dyhr1 Jan Bonde2 and Anders Larsson3 1 Research fellow Section of Intensive Care Medicine Department of Anaesthesiology Gentofte University Hospital Hellerup Denmark 2Director of the ICU Department of Anaesthesiology and Intensive Care Herlev University Hospital Herlev Denmark 3Professor Section of Intensive Care Medicine Department of Anaesthesiology Gentofte University Hospital Hellerup Denmark Correspondence Thomas Dyhr thdy@ Received 15 July 2002 Revisions requested 31 July 2002 Revisions received 3 September 2002 Accepted 9 October 2002 Published 31 October 2002 Critical Care 2003 7 55-62 DOI cc1844 This article is online at http content 7 1 55 2003 Dyhr et al. licensee BioMed Central Ltd Print ISSN 1364-8535 Online ISSN 1466-609X . This article is published in Open Access verbatim copying and redistribution of this article are permitted in all media for any non-commercial purpose provided this notice is preserved along with the article s original URL. Abstract Introduction Lung collapse is a contributory factor in the hypoxaemia that is observed after open endotracheal suctioning ETS in patients with acute lung injury and acute respiratory distress syndrome. Lung recruitment LR manoeuvres may be effective in rapidly regaining lung volume and improving oxygenation after ETS. Materials and method A prospective randomized controlled study was conducted in a 15-bed general intensive care unit at a university hospital. Eight consecutive mechanically ventilated patients with acute lung injury or acute respiratory distress syndrome were included. One of two suctioning procedures was performed in each patient. In the first procedure ETS was performed followed by LR manoeuvre and reconnection to .

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