肺泡撐開法

Translated title of the contribution: Recruitment Maneuver

江 俊松(Jiunn-Song Jiang), 江 玲玲(Ling-Ling Chiang), 邊 苗瑛(Mauo-Ying Bien), 汪 性寧(Shin-Ning Wang), 施 崇鴻(Chung-Hung Shih)

Research output: Contribution to journalArticle

Abstract

The pathobiology of acute respiratory distress syndrome (ARDS) has a natural tendency to collapse. Recruitment maneuver, an 'open lung strategy' focusing on alveolar patency, has its pathophysiologic rationale. Various recruitment maneuvers exist, including sustained inflation to high pressures, intermittent sighs, and stepwise increases in positive end-expiratory pressure (PEEP) or peak inspiratory pressure.
Data regarding the use of recruitment maneuvers in patients with ARDS show mixed results, with increased efficacy in those with early stage of ARDS, good compliance of the chest wall, Low PEEP, and in extrapulmonary ARDS. Patients with ARDS who are ventilated with high tidal volumes or high levels of PEEP are less apt to derecruitment and may not exhibit a response to recruiting interventions.
In this review we discuss the pathophysiologic basis for the use of recruitment maneuvers, recent evidence in acute lung injury, as well as the adverse event of the technique.
Translated title of the contributionRecruitment Maneuver
Original languageTraditional Chinese
Pages (from-to)31-40
Number of pages10
Journal呼吸治療
Volume9
Issue number1
DOIs
Publication statusPublished - 2010

Keywords

  • recruitment maneuver
  • ARDS
  • CPAP
  • extended sigh
  • PEEP

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  • Cite this

    江俊松(Jiunn-Song J, 江玲玲(Ling-Ling C, 邊苗瑛(Mauo-Ying B, 汪性寧(Shin-Ning W, & 施崇鴻(Chung-Hung S (2010). 肺泡撐開法. 呼吸治療, 9(1), 31-40. https://doi.org/10.6269/JRT.2010.9.1.04