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: Recruitment maneuvers and positive end-expiratory pressure/tidal ventilation titration in acute lung injury/acute respiratory distress syndrome: translating experimental results to clinical practice. | Critical Care October 2005 Vol 9 No 5 Barbas et al. Commentary Recruitment maneuvers and positive end-expiratory pressure tidal ventilation titration in acute lung injury acute respiratory distress syndrome translating experimental results to clinical practice Carmen Sílvia Valente Barbas1 Gustavo Faissol de Mattos2 and Eduardo da Rosa Borges3 Associate Professor Pulmonary Division University of São Paulo Brazil Medical staff of the ICU of Albert Einstein Hospital São Paulo Brazil 2Research Fellow Pulmonary Division University of São Paulo Brazil and Medical staff and Hemodynamic group coordinator of the ICU of Albert Einstein Hospital São Paulo Brazil 3Research Fellow Pulmonary Division University of São Paulo Brazil and Medical staff of ICU of Sirio-Libanes Hospital São Paulo Brazil Corresponding author Carmen Silvia Valente Barbas cbarbas@ Published online 18 August 2005 This article is online at http content 9 5 424 2005 BioMed Central Ltd Critical Care 2005 9 424-426 DOI cc3800 See related research by Henzler et al. in this issue http content 9 5 R471 Abstract Recruitment maneuvers and positive end-expiratory pressure PEEP tidal ventilation titration in acute lung injury acute respiratory distress syndrome ALI ARDS are the cornerstone of mechanical ventilatory support. The net result of these possible adjustments in ventilatory parameters is the interaction of the pressure applied in the respiratory system airway pressure end expiratory pressure counterbalanced by chest wall configuration abdominal pressure along the mechanical ventilatory support duration. Refinements in the ventilatory adjustments in ALI ARDS are necessary for minimizing the biotrauma in this still life-threatening clinical problem. It is well known that the main phenomenon of hypoxemia in acute lung injury acute respiratory distress syndrome ALI ARDS is the high shunt fraction caused by the nonaerated areas of the lungs. During the disease .
